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Sample records for program german intensive

  1. Curriculum design and German student exchange for Sino-German Bachelor program majored in optoelectronics engineering

    Science.gov (United States)

    Zheng, Jihong; Fuhrmann, Thomas; Xu, Boqing; Schreiner, Rupert; Jia, Hongzhi; Zhang, Wei; Wang, Ning; Seebauer, Gudrun; Zhu, Jiyan

    2017-08-01

    Different higher education backgrounds in China and Germany led to challenges in the curriculum design at the beginning of our cooperative bachelor program in Optoelectronics Engineering. We see challenges in different subject requirements from both sides and in the German language requirements for Chinese students. The curriculum was optimized according to the ASIIN criteria, which makes it acceptable and understandable by both countries. German students are integrated into the Chinese class and get the same lectures like their Chinese colleagues. Intercultural and curriculum challenges are successfully solved. The results are summarized to provide an example for other similar international programs.

  2. 96. German Roentgen congress of the DRG. Program with abstracts; 96. Deutscher Roentgenkongress der DRG. Vollstaendiges Program mit Abstracts

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-05-15

    The volume contains the program and the abstracts of the 96th German Roentgen congress of the DRG covering the following issues: profession and environment caused diseases, medical imaging - image processing - software, experimental radiology, whole-body diagnostics, gastro- and abdomen diagnostics, vascular diagnostics, device technology, heart diagnostics, interventional radiology (vascular diseases, oncology, others), pediatric radiology, contrast agents, head- and neck diagnostics, molecular imaging, musco-skeletal diagnostics, neuroradiology, emergency diagnostics - intensive care, oncologic imaging, quality management, radiation protection, thorax diagnostics.

  3. Strengthening German Programs through Community Engagement and Partnerships with Saturday Morning Schools

    Science.gov (United States)

    Hellebrandt, Josef

    2014-01-01

    German university programs can increase enrollments and diversify their curricula through academic community partnerships with surrounding schools. This article informs about two community-supported initiatives between the German Studies Program at Santa Clara University and the South Bay Deutscher Schulverein, a Saturday Morning School in…

  4. [The patient blood management concept : Joint recommendation of the German Society of Anaesthesiology and Intensive Care Medicine and the German Society of Surgery].

    Science.gov (United States)

    Meybohm, P; Schmitz-Rixen, T; Steinbicker, A; Schwenk, W; Zacharowski, K

    2017-10-01

    Patient blood management is a multimodal concept that aims to detect, prevent and treat anemia, optimize hemostasis, minimize iatrogenic blood loss, and support a patient-centered decision to provide optimal use of allogeneic blood products. Although the World Health Organization (WHO) has already recommended patient blood management as a new standard in 2010, many hospitals have not implemented it at all or only in part in clinical practice. The German Society of Anaesthesiology and Intensive Care Medicine and the German Society of Surgery therefore demand that i) all professionals involved in the treatment should implement important aspects of patient blood management considering local conditions, and ii) the structural, administrative and budgetary conditions should be created in the health care system to implement more intensively many of the measures in Germany.

  5. [The German program for disease management guidelines. Background, methods, and development process].

    Science.gov (United States)

    Ollenschläger, Günter; Kopp, Ina; Lelgemann, Monika; Sänger, Sylvia; Heymans, Lothar; Thole, Henning; Trapp, Henrike; Lorenz, Wilfried; Selbmann, Hans-Konrad; Encke, Albrecht

    2006-10-15

    The Program for National Disease Management Guidelines (German DM-CPG Program) was established in 2002 by the German Medical Association (umbrella organization of the German Chambers of Physicians) and joined by the Association of the Scientific Medical Societies (AWMF; umbrella organization of more than 150 professional societies) and by the National Association of Statutory Health Insurance Physicians (NASHIP) in 2003. The program provides a conceptual basis for disease management, focusing on high-priority health-care topics and aiming at the implementation of best practice recommendations for prevention, acute care, rehabilitation and chronic care. It is organized by the German Agency for Quality in Medicine, a founding member of the Guidelines International Network (G-I-N). The main objective of the German DM-CPG Program is to establish consensus of the medical professions on evidence-based key recommendations covering all sectors of health-care provision and facilitating the coordination of care for the individual patient through time and across interfaces. Within the last year, DM-CPGs have been published for asthma, chronic obstructive pulmonary disease, type 2 diabetes, and coronary heart disease. In addition, experts from national patient self-help groups have been developing patient guidance based upon the recommendations for health-care providers. The article describes background, methods, and tools of the DM-CPG Program, and is the first of a publication series dealing with innovative recommendations and aspects of the program.

  6. Fanning the Flames: Best Practices for Ensuring the Survival of Small German Programs

    Science.gov (United States)

    Davidheiser, James; Wolf, Gregory

    2009-01-01

    Small undergraduate German programs can take various forms but can generally be classified as new and emerging or older and well-established programs. In today's academic climate it is necessary that instructors in both types work to enhance their curriculum and extra-curricular offerings as well as strive to prevent burnout and the over…

  7. [Differences between German and Turkish-speaking participants in a chronic heart failure management program].

    Science.gov (United States)

    Ernstmann, N; Karbach, U

    2017-02-01

    German and Turkish-speaking patients were recruited for a chronic heart failure management program. So far little is known about the special needs and characteristics of Turkish-speaking patients with chronic heart failure; therefore, the aim of this study was to examine sociodemographic and illness-related differences between German and Turkish-speaking patients with chronic heart failure. German and Turkish-speaking patients suffering from chronic heart failure and insured with the AOK Rheinland/Hamburg or the BARMER GEK health insurance companies and living in Cologne, Germany, were enrolled. Recruitment took place in hospitals, private practices and at information events. Components of the program were coordination of a guideline-oriented medical care, telemonitoring (e.g., blood pressure, electrocardiogram, and weight), a 24-h information hotline, attendance by German and Turkish-speaking nurses and a patient education program. Data were collected by standardized interviews in German or Turkish language. Data were analyzed with descriptive measures and tested for significance differences using Pearson's χ(2)-test and the t‑test. A total of 465 patients (average age 71 years, 55 % male and 33 % Turkish-speaking) were enrolled in the care program during the study period. Significant differences between German and Turkish-speaking patients were found for age, education, employment status, comorbidities, risk perception, knowledge on heart failure and fear of loss of independence. The response rate could be achieved with the help of specific measures for patient enrollment by Turkish-speaking integration nurses. The differences between German and Turkish-speaking patients should in future be taken into account in the care of people with chronic heart failure.

  8. Multiple Intelligences Theory and Foreign Language Education: Perspectives of College Students in a German Immersion Program

    Science.gov (United States)

    Weber-Segler, Ellen

    2013-01-01

    The purpose of this qualitative research study was to explore and comprehend the role of Howard Gardner's theory of multiple intelligences (MI) in foreign language learning by analyzing the perspectives of college students in a German immersion program at a liberal arts college in the Midwest. Data collection included 10 in-depth student…

  9. Auditing an intensive care unit recycling program.

    Science.gov (United States)

    Kubicki, Mark A; McGain, Forbes; O'Shea, Catherine J; Bates, Samantha

    2015-06-01

    The provision of health care has significant direct environmental effects such as energy and water use and waste production, and indirect effects, including manufacturing and transport of drugs and equipment. Recycling of hospital waste is one strategy to reduce waste disposed of as landfill, preserve resources, reduce greenhouse gas emissions, and potentially remain fiscally responsible. We began an intensive care unit recycling program, because a significant proportion of ICU waste was known to be recyclable. To determine the weight and proportion of ICU waste recycled, the proportion of incorrect waste disposal (including infectious waste contamination), the opportunity for further recycling and the financial effects of the recycling program. We weighed all waste and recyclables from an 11-bed ICU in an Australian metropolitan hospital for 7 non-consecutive days. As part of routine care, ICU waste was separated into general, infectious and recycling streams. Recycling streams were paper and cardboard, three plastics streams (polypropylene, mixed plastics and polyvinylchloride [PVC]) and commingled waste (steel, aluminium and some plastics). ICU waste from the waste and recycling bins was sorted into those five recycling streams, general waste and infectious waste. After sorting, the waste was weighed and examined. Recycling was classified as achieved (actual), potential and total. Potential recycling was defined as being acceptable to hospital protocol and local recycling programs. Direct and indirect financial costs, excluding labour, were examined. During the 7-day period, the total ICU waste was 505 kg: general waste, 222 kg (44%); infectious waste, 138 kg (27%); potentially recyclable waste, 145 kg (28%). Of the potentially recyclable waste, 70 kg (49%) was actually recycled (14% of the total ICU waste). In the infectious waste bins, 82% was truly infectious. There was no infectious contamination of the recycling streams. The PVC waste was 37% contaminated

  10. A gap between Need and Reality: Neonatal Nursing Staff Requirements on a German Intensive Care Unit

    OpenAIRE

    Patry, Christian; Schindler, Monika; Reinhard, Julia; Hien, Steffen; Demirakca, Süha; Böhler, Thomas; Schaible, Thomas

    2014-01-01

    Recently, new staffing rules for neonatal nurses in intensive care units (ICU) were issued in Germany, using categories of care of the British Association of Perinatal Medicine as blueprint. Neonates on intensive care require a nurse-to-patient ratio of 1:1, on intensive surveillance (high dependency care) of 1:2. No requirements exist for special care, transitional care, and pediatric ICU patients. Using these rules, nursing staff requirement was calculated over a period of 31 consecutive da...

  11. Energy intensity development of the German iron and steel industry between 1991 and 2007

    Energy Technology Data Exchange (ETDEWEB)

    Arens, M. [Fraunhofer Institute for Systems and Innovation Research (ISI), Breslauer Str. 48, 76139 Karlsruhe (Germany); Worrell, E. [Copernicus Institute of Sustainable Development, Utrecht University, Heidelberglaan 2, 3584 CS Utrecht (Netherlands); Schleich, J. [Grenoble Ecole de Management, 12, rue Pierre Semard, BP127, 38003 Grenoble Cedex 01 (France)

    2012-09-15

    The iron and steel sector is the largest industrial CO2 emitter and energy consumer in the world. Energy efficiency is key to reduce energy consumption and GHG emissions. To understand future developments of energy use in the steel sector, it is worthwhile to analyze energy efficiency developments over the past two decades. This paper analyses the development of the specific energy consumption (SEC) (measured as primary energy use per unit of product) in the German steel sector between 1991 and 2007. We found that the total SEC declined by 0.4%/year. Of this 75%, or 0.3%/year, is due to a structural change towards more electric arc furnaces (EAF). Energy efficiency improvement accounts for about 25% of the observed change in SEC, or 0.1%/year. Energy efficiency improvements are found, especially in rolling (1.4%/year). The net SEC of blast furnaces decreased due to increased top gas recovery by 0.2%/year per tonne iron. Improvements in other processes were very limited or non-existent. In basic oxygen furnaces (BOF) net SEC increased due to a 60% decrease in BOF gas recovery between 1993 and 2007. In EAF and sinter plants the SEC remained constant or, respectively, even increased by 9% between 1991 and 2007 per tonne sinter.

  12. The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU): Translation and cognitive debriefing for the German-speaking area

    Science.gov (United States)

    de Grahl, Clemens; Luetz, Alawi; Gratopp, Alexander; Gensel, Dennis; Mueller, Judith; Smith, Heidi; Ely, E. Wesley; Krude, Heiko; Spies, Claudia

    2012-01-01

    Purpose: To date there are only a few studies published, dealing with delirium in critically ill patients. The problem with these studies is that prevalence rates of delirium could only be estimated because of the lack of validated delirium assessment tools for the paediatric intensive care unit (PICU). The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU) was specifically developed and validated for the detection of delirium in PICU patients. The purpose of this study was the translation of the English pCAM-ICU into German according to international validated guidelines. Methods: The translation process was performed according to the principles of good practice for the translation and cultural adaptation process for patient reported outcomes measures: From three independently created German forward-translation versions one preliminary German version was developed, which was then retranslated to English by a certified, state-approved translator. The back-translated version was submitted to the original author for evaluation. The German translation was evaluated by clinicians and specialists anonymously (German grades) in regards to language and content of the translation. Results: The results of the cognitive debriefing revealed good to very good results. After that the translation process was successfully completed and the final version of the German pCAM-ICU was adopted by the expert committee. Conclusion: The German version of the pCAM-ICU is a result of a translation process in accordance with internationally acknowledged guidelines. Particularly, with respect to the excellent results of the cognitive debriefing, we could finalise the translation and cultural adaptation process for the German pCAM-ICU. PMID:22557940

  13. The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU: Translation and cognitive debriefing for the German-speaking area

    Directory of Open Access Journals (Sweden)

    Clemens de Grahl

    2012-04-01

    Full Text Available Purpose: To date there are only a few studies published, dealing with delirium in critically ill patients. The problem with these studies is that prevalence rates of delirium could only be estimated because of the lack of validated delirium assessment tools for the paediatric intensive care unit (PICU. The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU was specifically developed and validated for the detection of delirium in PICU patients. The purpose of this study was the translation of the English pCAM-ICU into German according to international validated guidelines. Methods: The translation process was performed according to the principles of good practice for the translation and cultural adaptation process for patient reported outcomes measures: From three independently created German forward-translation versions one preliminary German version was developed, which was then retranslated to English by a certified, state-approved translator. The back-translated version was submitted to the original author for evaluation. The German translation was evaluated by clinicians and specialists anonymously (German grades in regards to language and content of the translation. Results: The results of the cognitive debriefing revealed good to very good results. After that the translation process was successfully completed and the final version of the German pCAM-ICU was adopted by the expert committee. Conclusion: The German version of the pCAM-ICU is a result of a translation process in accordance with internationally acknowledged guidelines. Particularly, with respect to the excellent results of the cognitive debriefing, we could finalise the translation and cultural adaptation process for the German pCAM-ICU.

  14. The German Long-Term Care Insurance Program: Evolution and Recent Developments.

    Science.gov (United States)

    Nadash, Pamela; Doty, Pamela; von Schwanenflügel, Matthias

    2017-04-04

    Since 1995, Germany has operated one of the longest-running public programs providing universal support for the cost of long term services and supports (LTSS). Its self-funding, social insurance approach provides basic supports to nearly all Germans. We discuss its design and development, including recent reforms expanding the program and ensuring its ongoing sustainability. The study reviews legislative and programmatic changes, using program data, as well as legislative documents and program reports. The program is widely accepted among citizens and has achieved many of its original goals: ensuring access to LTSS and reducing reliance on the locally-funded safety-net social assistance program, which can be used to cover nursing home costs. It also strengthened the LTSS provider infrastructure and expanded access to home care. Recent reforms have addressed some of the program's key issues: the benefit's decreasing value, the eligibility and benefit structure that largely excluded cognitive impairment, and the program's longer-term financial sustainability-particularly its ability to sustain newly expanded benefits, which provide stronger protections to caregivers, index-link benefits, and more systematically incorporate cognitive impairment via a new assessment system. It has addressed financing issues by increasing premiums, introducing subsidies for the purchase of private insurance, and creating a "demographic reserve fund." The reforms constitute a significant strengthening of the program, remarkable in an era of retrenchment. Overall, the program provides evidence for the financial viability of a social insurance model, although longer-term challenges may yet arise.

  15. Voluntary peer review as innovative tool for quality improvement in the intensive care unit--a retrospective descriptive cohort study in German intensive care units.

    Science.gov (United States)

    Kumpf, Oliver; Bloos, Frank; Bause, Hanswerner; Brinkmann, Alexander; Deja, Maria; Marx, Gernot; Kaltwasser, Arnold; Dubb, Rolf; Muhl, Elke; Greim, Clemens-A; Weiler, Norbert; Chop, Ines; Jonitz, Günther; Schaefer, Henning; Felsenstein, Matthias; Liebeskind, Ursula; Leffmann, Carsten; Jungbluth, Annemarie; Waydhas, Christian; Pronovost, Peter; Spies, Claudia; Braun, Jan-Peter

    2014-01-01

    Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports. Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs - representing over 300 patient beds - had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interesting Conclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators.

  16. Voluntary peer review as innovative tool for quality improvement in the intensive care unit – a retrospective descriptive cohort study in German intensive care units

    Directory of Open Access Journals (Sweden)

    Kumpf, Oliver

    2014-12-01

    Full Text Available [english] Introduction: Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports.Methods: Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs – representing over 300 patient beds – had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports of these ICUs are presented. Results: External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interestingConclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators.

  17. The Schäfertal-Catchment - An intensive research site within the TERENO Harz/Central German Lowland Observatory

    Science.gov (United States)

    Wollschläger, U.; Baeßler, C.; de Rooij, G. H.; Dietrich, P.; Fleckenstein, J. H.; Frenzel, M.; Klotz, S.; Lausch, A.; Martini, E.; Musolff, A.; Oswald, S.; Pause, M.; Reinstorf, F.; Rode, M.; Samaniego-Eguiguren, L.; Vogel, H.-J.; Werban, U.; Zacharias, S.

    2012-04-01

    The Bode river catchment in the TERENO Harz/Central German Lowland Observatory is the central study area for water-related research at the Helmholtz Centre for Environmental Research - UFZ. As integral part of the TERENO observation network of the Helmholtz Association, an integrated monitoring and research concept joining hydrological, atmospheric, biodiversity-related, and soil physical research is currently being implemented. The observation concept has been designed following a nested catchment monitoring approach comprising highly instrumented, intensive research sites as smallest units. We present an overview of the Schäfertal-Catchment, one of the intensive research sites within the Bode Hydrological Observatory. The central research goal is the long-term investigation of the catchment water budget and the feedbacks with climatic, pedological, geological, and ecological drivers. In this context three main research packages have been defined: (i) monitoring and modelling of water fluxes from the point to the catchment scale, (ii) soil-landscape-modelling, and (iii) investigation of biodiversity and ecosystem functioning. Within the Schäfertal several technologies for soil hydrological monitoring are combined in order to observe meso-scale vadose zone hydrological processes. In this presentation, the general research concept as well as conceptual approaches for the different specific research hypotheses are described. First results of ongoing monitoring activities are presented and discussed.

  18. An Intensive Training Program for Effective Teaching Assistants in Chemistry

    Science.gov (United States)

    Dragisich, Vera; Keller, Valerie; Zhao, Meishan

    2016-01-01

    We report an intensive graduate teaching assistant (GTA) training program developed at The University of Chicago. The program has been assessed and has been successful in preparing GTAs for effective discussion and laboratory teaching for both general and organic chemistry. We believe that this training program can provide insightful information…

  19. Architecture and Programming Models for High Performance Intensive Computation

    Science.gov (United States)

    2016-06-29

    AFRL-AFOSR-VA-TR-2016-0230 Architecture and Programming Models for High Performance Intensive Computation XiaoMing Li UNIVERSITY OF DELAWARE Final...TITLE AND SUBTITLE Architecture and Programming Models for High Performance Intensive Computation 5a. CONTRACT NUMBER 5b. GRANT NUMBER FA9550-13-1-0213...developing an efficient system architecture and software tools for building and running Dynamic Data Driven Application Systems (DDDAS). The foremost

  20. [Cost of intensive care in a German hospital: cost-unit accounting based on the InEK matrix].

    Science.gov (United States)

    Martin, J; Neurohr, C; Bauer, M; Weiss, M; Schleppers, A

    2008-05-01

    The aim of this study was to determine the actual cost per intensive care unit (ICU) day in Germany based on routine data from an electronic patient data management system as well as analysis of cost-driving factors. A differentiation between days with and without mechanical ventilation was performed. On the ICU of a German focused-care hospital (896 beds, 12 anesthesiology ICU beds), cost per treatment day was calculated with or without mechanical ventilation from the perspective of the hospital. Costs were derived retrospectively with respect to the period between January and October 2006 by cost-unit accounting based on routine data collected from the ICU patients. Patients with a length of stay of at least 2 days on the ICU were included. Demographic, clinical and economical data were analyzed for patient characterization. Data of 407 patients (217 male and 190 female) were included in the analysis, of which 159 patients (100 male, 59 female) were completely or partially mechanically ventilated. The mean simplified acute physiology (SAPS) II score at the onset of ICU stay was 28.2. Average cost per ICU day was 1,265 EUR and costs for ICU days with and without mechanical ventilation amounted to 1,426 EUR and 1,145 EUR, respectively. Personnel costs (50%) showed the largest cost share followed by drugs plus medicinal products (18%) and infrastructure (16%). For the first time, a cost analysis of intensive care in Germany was performed with routine data based on the matrix of the institute for reimbursement in hospitals (InEK). The results revealed a higher resource use on the ICU than previously expected. The large share of personnel costs on the ICU was evident but is comparable to other medical departments in the hospital. The need for mechanical ventilation increases the daily costs of resources by approximately 25%.

  1. New quality assurance program integrating ''modern radiotherapy'' within the German Hodgkin Study Group

    Energy Technology Data Exchange (ETDEWEB)

    Kriz, J.; Haverkamp, U.; Eich, H.T. [University of Muenster, Department of Radiation Oncology, Muenster (Germany); Baues, C.; Marnitz-Schulze, S. [University of Cologne, Department of Radiation Oncology, Koeln (Germany); Engenhart-Cabillic, R. [University of Marburg, Department of Radiation Oncology, Marburg (Germany); Herfarth, K. [University of Heidelberg, Department of Radiation Oncology, Heidelberg (Germany); Lukas, P. [University of Innsbruck, Department of Radiation Oncology, Innsbruck (Austria); Schmidberger, H. [University of Mainz, Department of Radiation Oncology, Mainz (Germany); Fuchs, M.; Engert, A. [University of Cologne, Department of Internal Medicine, Koeln (Germany)

    2017-02-15

    Field design changed substantially from extended-field RT (EF-RT) to involved-field RT (IF-RT) and now to involved-node RT (IN-RT) and involved-site RT (IS-RT) as well as treatment techniques in radiotherapy (RT) of Hodgkin's lymphoma (HL). The purpose of this article is to demonstrate the establishment of a quality assurance program (QAP) including modern RT techniques and field designs within the German Hodgkin Study Group (GHSG). In the era of modern conformal RT, this QAP had to be fundamentally adapted and a new evaluation process has been intensively discussed by the radiotherapeutic expert panel of the GHSG. The expert panel developed guidelines and criteria to analyse ''modern'' field designs and treatment techniques. This work is based on a dataset of 11 patients treated within the sixth study generation (HD16-17). To develop a QAP of ''modern RT'', the expert panel defined criteria for analysing current RT procedures. The consensus of a modified QAP in ongoing and future trials is presented. With this schedule, the QAP of the GHSG could serve as a model for other study groups. (orig.) [German] Nicht nur die Zielvolumendefinitionen haben sich von der Extended-Field- (EF-RT) ueber die Involved-Field- (IF-RT) bis zur Involved-Node- (IN-RT) und Involved-Site-Radiotherapie (IS-RT) weiterentwickelt. Auch die Radiotherapie(RT)-Techniken in der Behandlung von Patienten mit Hodgkin-Lymphom haben Aenderungen erfahren. Wir moechten aufzeigen, wie die Arbeit des Qualitaetssicherungsprogramms (QAP) innerhalb der Deutschen Hodgkin Studiengruppe (German Hodgkin Study Group [GHSG]) in der Aera der ''modernen RT'' hinsichtlich intensitaetsmodulierter RT (IMRT) und bildgefuehrter RT (IGRT), aber auch hinsichtlich moderner Felddefinitionen wie bei der IN-RT angepasst wurde. In der Aera der ''modernen RT'' wurde das QAP vom radiotherapeutischen Expertenpanel der GHSG im Rahmen einiger

  2. US Accelerator R&D Program Toward Intensity Frontier Machines

    Energy Technology Data Exchange (ETDEWEB)

    Shiltsev, Vladimir [Fermilab

    2016-09-15

    The 2014 P5 report indicated the accelerator-based neutrino and rare decay physics research as a centerpiece of the US domestic HEP program. Operation, upgrade and development of the accelerators for the near-term and longer-term particle physics program at the Intensity Frontier face formidable challenges. Here we discuss key elements of the accelerator physics and technology R&D program toward future multi-MW proton accelerators.

  3. [Compilation of Second Opinion Programs in the German Statutory Health Insurance].

    Science.gov (United States)

    Pieper, Dawid; Heß, Simone; Mathes, Tim

    2017-05-15

    Objective According to a new legislation passed in 2016, patients with an indication for elective procedures have the right to obtain a second opinion. The Federal Joint Committee has not yet provided a list of indications that this legislation will cover. Independently of this, the statutory health insurances can, nonetheless, pay for a second opinion. The aim of this article is to give an overview of current second opinion programs delivered by the statutory health insurance schemes. Methods Websites of all German statutory health insurance schemes (n=117) were searched for second opinion programs and their features in November 2016. All data was extracted by one person and verified by a second person. Results In total, 78 second-opinion programs were identified. Half of all statutory health insurance schemes (50%, n=59) provide at least one second-opinion program. The majority of them was in the field of orthopedics (78%, n=61) and oncology (58%, n=45). Multiple replies were possible. In most cases, second-opinion programs were outsourced (58%; n=44), followed by forwarding patients to health service providers contracted with the statutory health insurance scheme (45% n=34). Only in 11% (n=8) was the second opinion delivered by staff of the statutory health insurance scheme. The second opinion was delivered based on submitted documents only (63%; n=48), direct patient-physician contact (43%; n=33), and contact by phone (14%; n=11). The delivery of the second opinion took 7 days in median, while the delivery based on submitted documents only (median 7) was faster than the delivery by direct-physician contact (median 14). Conclusions The majority of those living in Germany have the possibility to obtain a second opinion. However, second-opinion programs are very heterogeneous so that patients are confused about their rights to second opinion. © Georg Thieme Verlag KG Stuttgart · New York.

  4. 97. German Roentgen congress of the DRG. Program with abstracts; 97. Deutscher Roentgenkongress der DRG. Vollstaendiges Programm mit Abstracts

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2016-05-15

    The Volume with program and abstracts of the 97. German Roentgen congress of the DRG covers the following issues: The future of radiology - where are we heading? Cardiovascular imaging - the future; brain imaging - the essentials; chest imaging - not only nodules; abdominal imaging - the liver and beyond; muscoskeletal imaging - joints and bones; head and neck radiology - made easy.

  5. Research for assessment, not deployment, of Climate Engineering: The German Research Foundation's Priority Program SPP 1689

    Science.gov (United States)

    Oschlies, Andreas; Klepper, Gernot

    2017-01-01

    The historical developments are reviewed that have led from a bottom-up responsibility initiative of concerned scientists to the emergence of a nationwide interdisciplinary Priority Program on the assessment of Climate Engineering (CE) funded by the German Research Foundation (DFG). Given the perceived lack of comprehensive and comparative appraisals of different CE methods, the Priority Program was designed to encompass both solar radiation management (SRM) and carbon dioxide removal (CDR) ideas and to cover the atmospheric, terrestrial, and oceanic realm. First, key findings obtained by the ongoing Priority Program are summarized and reveal that, compared to earlier assessments such as the 2009 Royal Society report, more detailed investigations tend to indicate less efficiency, lower effectiveness, and often lower safety. Emerging research trends are discussed in the context of the recent Paris agreement to limit global warming to less than two degrees and the associated increasing reliance on negative emission technologies. Our results show then when deployed at scales large enough to have a significant impact on atmospheric CO2, even CDR methods such as afforestation—often perceived as "benign"—can have substantial side effects and may raise severe ethical, legal, and governance issues. We suppose that before being deployed at climatically relevant scales, any negative emission or CE method will require careful analysis of efficiency, effectiveness, and undesired side effects.

  6. [Protect employability: effects of prevention programs offered by the German pension scheme].

    Science.gov (United States)

    Kittel, J; Fröhlich, S M; Heilmeyer, P; Olbrich, D; Karoff, M; Greitemann, B

    2014-08-01

    A pilot study was carried out in 4 medical rehabilitation centers to examine the practicability and effectiveness of preventive life-style interventions for employees with risk factors. The programs were developed in cooperation with the German pension scheme and employers. Selection criteria were risk factors as lack of physical activity, overweight, dorsal pain or job strain. The results demonstrate that preventive programs, which are conducted in addition to the normal working hours on the job, can be implemented successfully in rehabilitation units. The participation in the multimodal prevention program goes along with a stable reduction of risky health behavior: increased physical activity, stress coping, dietary change und weight reduction. The healthier life-style is reflected in an enhanced state of health and has also positive impact on the occupational field scale: The percentage of employees who believed to be able to work until their old-age pension, could be increased significantly (p<0.001) from 47% to 74%. Work-related risk behaviors like excessive demands on oneself were reduced and protective strategies were -developed. © Georg Thieme Verlag KG Stuttgart · New York.

  7. [Full-scale simulation in German medical schools and anesthesia residency programs : Status quo].

    Science.gov (United States)

    Baschnegger, H; Meyer, O; Zech, A; Urban, B; Rall, M; Breuer, G; Prückner, S

    2017-01-01

    Simulation has been increasingly used in medicine. In 2003 German university departments of anesthesiology were provided with a full-scale patient simulator, designated for use with medical students. Meanwhile simulation courses are also offered to physicians and nurses. Currently, the national model curriculum for residency programs in anesthesiology is being revised, possibly to include mandatory simulation training. To assess the status quo of full-scale simulation training for medical school, residency and continuing medical education in German anesthesiology. All 38 German university chairs for anesthesiology as well as five arbitrarily chosen non-university facilities were invited to complete an online questionnaire regarding their centers' infrastructure and courses held between 2010 and 2012. The overall return rate was 86 %. In university simulation centers seven non-student staff members, mainly physicians, were involved, adding up to a full-time equivalent of 1.2. All hours of work were paid by 61 % of the centers. The median center size was 100 m2 (range 20-500 m2), equipped with three patient simulators (1-32). Simulators of high or very high fidelity are available at 80 % of the centers. Scripted scenarios were used by 91 %, video debriefing by 69 %. Of the participating university centers, 97 % offered courses for medical students, 81 % for the department's employees, 43 % for other departments of their hospital, and 61 % for external participants. In 2012 the median center reached 46 % of eligible students (0-100), 39 % of the department's physicians (8-96) and 16 % of its nurses (0-56) once. For physicians and nurses from these departments that equals one simulation-based training every 2.6 and 6 years, respectively. 31 % made simulation training mandatory for their residents, 29 % for their nurses and 24 % for their attending physicians. The overall rates of staff ever exposed to simulation were 45 % of

  8. An intensive exercise program improves motor performances in patients with dementia: translational model of geriatric rehabilitation.

    Science.gov (United States)

    Schwenk, Michael; Dutzi, Ilona; Englert, Stefan; Micol, William; Najafi, Bijan; Mohler, Jane; Hauer, Klaus

    2014-01-01

    Translation of intensive exercise programs developed specifically for patients with dementia into clinical settings is lacking. To determine if a progressive resistance and functional training program, previously evaluated in dementia outpatients, can be implemented in a geriatric inpatient setting in order to improve motor performances in patients with dementia. Eligible patients in one ward of a German geriatric hospital were assigned to the intervention group (IG, n = 74) and received intensive exercise training specifically designed for patients with dementia. Patients in the second ward were observed as a control group (CG, n = 74). All patients received usual care treatment. Primary endpoints were maximal lower extremity strength measured by a leg-press device and duration of the 5-chair-stand test for functional performance. Secondary outcomes included a number of parameters for strength and function. The rehabilitation period averaged 18.1 ± 6.8 days. The IG significantly improved in both primary endpoints (change: maximal strength, IG: +51.9 ± 42.3% versus CG: +13.5 ± 51.8%, p exercise program can be implemented in a geriatric rehabilitation setting to improve motor performances in patients with dementia. Results suggest that an intensification of training is feasible in the target group and substantially increases the benefits in comparison to receiving usual care exercise only.

  9. Exercise duration and intensity in a weight-loss program.

    Science.gov (United States)

    Chambliss, Heather O

    2005-03-01

    To examine the effect of duration and frequency of exercise on weight loss and cardiorespiratory fitness in previously sedentary, overweight, women. Randomized, controlled, 4-arm trial of 12-months duration. A university-based behavioral weight loss program during the years 2000 and 2001. Eligibility criteria were: women, 21 to 45 years of age, body mass index (BMI) 27 to 40, reporting exercise exercise or that would affect metabolism or weight loss, being treated for psychologic conditions, pregnant, recently pregnant, or planning pregnancy, having a medical condition that could affect metabolism or body weight (eg, diabetes) or that would limit exercise participation. All 201 participants were assigned to a standard behavioral weight loss program, which included regular group meetings and telephone calls, and caloric and dietary fat restrictions. Participants were given meal plans and kept weekly food diaries. The women were assigned to 1 of 4 exercise groups based on energy expenditure of 1000 kcal/wk or 2000 kcal/wk and exercise intensity (moderate versus vigorous). Exercise intensity was prescribed according to percentage of age-predicted maximal heart rate and rating of perceived exertion. Energy expenditure was converted to minutes of exercise per week. The groups were vigorous intensity/high duration, moderate intensity/high duration, moderate intensity/moderate duration, and vigorous intensity/moderate duration. All 4 groups started the program at moderate intensity and moderate duration (100 min/week of walking) and increased the vigor and duration of exercise to set targets of 200, 300, 200, and 150 min/week, for the groups respectively. Treadmills were provided to the participants, and feedback on their weekly exercise logs was given. At 6 and 12 months, changes in body weight and BMI were measured. Cardiorespiratory fitness was measured by a graded exercise treadmill test and expressed as percent change in oxygen consumption from baseline. Excluding 5

  10. Therapeutic effect of a moderate intensity interval training program ...

    African Journals Online (AJOL)

    Therapeutic effect of a moderate intensity interval training program on the lipid profile in men with hypertension: A randomized controlled trial. S Lamina, GC Okoye. Abstract. Objective: Physical inactivity has been established as a major primary risk factor for the development of hypertension. Also, factors such as elevated ...

  11. Progression of Cohort Learning Style during an Intensive Education Program

    Science.gov (United States)

    Compton, David A.; Compton, Cynthia M.

    2017-01-01

    The authors describe an intensive graduate program involving compressed classroom preparation followed by a period of experiential activities designed to reinforce and enhance the knowledge base. Beginning with a brief review of the andragogical issues, they describe methods undertaken to track learning styles via the Kolb Learning Styles…

  12. Novel Programs, International Adoptions, or Contextual Adaptations? Meta-Analytical Results From German and Swedish Intervention Research.

    Science.gov (United States)

    Sundell, Knut; Beelmann, Andreas; Hasson, Henna; von Thiele Schwarz, Ulrica

    2016-01-01

    One of the major dilemmas in intervention and implementation research is adaptation versus adherence. High fidelity to an intervention protocol is essential for internal validity. At the same time, it has been argued that adaptation is necessary for improving the adoption and use of interventions by, for example, improving the match between an intervention and its cultural context, thus improving external validity. This study explores the origins of intervention programs (i.e., novel programs, programs adopted from other contexts with or without adaptation) in two meta-analytic intervention data sets from two European countries and compares the effect sizes of the outcomes of the interventions evaluated. Results are based on two samples of studies evaluating German child and youth preventative interventions (k = 158), and Swedish evaluations of a variety of psychological and social interventions (k = 139). The studies were categorized as novel programs, international adoption and contextual adaptation, with a total of six subcategories. In the German sample, after statistically controlling for some crucial methodological aspects, novel programs were significantly more effective than adopted programs. In the Swedish sample, a trend was found suggesting that adopted programs were less effective than adapted and novel programs. If these results are generalizable and unbiased, they favor novel and adapted programs over adopted programs with no adaptation and indicate that adoption of transported programs should not be done without considering adaptation.

  13. Long range thermal weapon sights for the German future infantryman program IdZ

    Science.gov (United States)

    Breiter, Rainer; Ihle, Tobias; Mauk, Karl-Heinz; Münzberg, Mario; Rode, Werner

    2007-04-01

    In December 2004 AIM started the series production of the HuntIR long range thermal weapon sight. The sight is fielded in the Germany Future Infantryman (IdZ) basic system and since that time in continuous service in various out of area missions with German participation. For very long identification ranges >1500m cooled technology still outperforms uncooled sights, even with respect to smaller size and lower weight because the typical F/1 design of uncooled systems overcompensates cooler weight for focal length >175mm. The HuntIR sight is therefore based on a cooled MWIR detection module for long range battlefield surveillance and target engagement. The device specifically is a perfect match to state of the art small arms like 0.50 cal sniper rifles or crew served weapons like the 40mm high velocity grenade machine gun (GMG) which provide engagement ranges >1500m and need an adequate sight performance beyond that. A recent modification of HuntIR was done to provide a wider field of view for improved situation awareness in urban operations and specifically to allow the engagement of the 40mm GMG in ranges between 250-1200m. The qualification tests of the sight by the German infantry were successfully completed mid 2006. To match the demand of the follow-up program IdZ-ES additional components have to be integrated. Most important are a laser range finder (LRF), 3 axis digital magnetic compass (DMC) and a wireless data link. LRF and DMC together with a highly sophisticated fire control computer provide improved first round hit probability, the DMC additionally improves the fire control in any case of steep trajectories or for pronounced ballistic trajectories to avoid any need to precisely level the GMG. This new sight is done under the brand name RangIR. An important additional feature is the interface for air burst ammunition (ABM). The optical distance is measured by the LRF, the fire control computer accurately evaluates the trajectory under the given angle

  14. An intensive physiotherapy program improves mobility for trauma patients.

    Science.gov (United States)

    Calthorpe, Sara; Barber, Elizabeth A; Holland, Anne E; Kimmel, Lara; Webb, Melissa J; Hodgson, Carol; Gruen, Russell L

    2014-01-01

    Physiotherapy is integral to modern trauma care. Early physiotherapy and mobility have been shown to improve outcomes in patients with isolated injuries; however, the optimal intensity of physiotherapy in the multitrauma patient population has not yet been examined. The primary aim of this study was to determine whether an intensive physiotherapy program resulted in improved inpatient mobility. We conducted a single-center prospective randomized controlled study of 90 consecutive patients admitted to the Alfred Hospital (a Level 1 trauma center) in Australia between October 2011 and June 2012 who could participate in ward-based physiotherapy. Participants were allocated to either usual care (daily physiotherapy treatment, approximately 30 minutes) or intensive physiotherapy (usual care plus two additional 30-minute treatments each day). The primary outcome measure was the modified Iowa Level of Assistance (mILOA) score, collected by a blinded assessor at Days 3 and 5 (or earlier if discharged). Secondary measures included physical readiness for discharge, hospital and rehabilitation length of stay, a patient confidence and satisfaction scale, and quality of life at 6 months. Groups were comparable at baseline. Participants in the intensive physiotherapy group achieved significantly improved mILOA scores on Day 3 (median, 7 points compared with 10 points; p = 0.02) and Day 5 (median, 7.5 points compared with 16 points; p = 0.04) and were more satisfied with their care (p = 0.01). There was no difference between groups in time to physical readiness, discharge destination, length of stay, or quality-of-life measures. Intensive physiotherapy resulted in improved mobility in trauma inpatients. Further studies are required to determine if specific groups benefit more from intensive physiotherapy and if this translates to long-term improvements in outcomes. Therapeutic study, level 1.

  15. [Evaluating the effectiveness of a disease management program diabetes in the German Statutory Health Insurance: first results and methodological considerations].

    Science.gov (United States)

    Drabik, Anna; Graf, Christian; Büscher, Guido; Stock, Stephanie

    2012-01-01

    Disease management programs (DMPs) were implemented in the German Statutory Health Insurance (SHI) in a nationwide rollout in 2002. The explicit goal of the programs is to improve coordination and quality of care for the chronically ill (Sect. 137f, SGB V). To reach this goal extensive quality assurance measures in the programs are mandatory, enrolment and coordination of care rests with the primary care or DMP physician, treatment is based on evidence-based care guidelines, and patients are offered diabetes education classes to support self-management. The present study evaluates the DMP diabetes mellitus type II, a nationwide program offered by the BARMER, a German health insurance company. To minimize selection bias we formed a control group of administrative data using a propensity score matching approach. In comparison to the control group DMP participants have a significantly lower mortality rate, and their average drug and hospital costs are reduced. Enrolled patients also had a lower mean number of hospital stays and shorter hospital stays. These results indicate that the programs meet the initial goal of improving the quality of care for the chronically ill. Copyright © 2011. Published by Elsevier GmbH.

  16. Intensive Research Program on Advances in Nonsmooth Dynamics 2016

    CERN Document Server

    Jeffrey, Mike; Lázaro, J; Olm, Josep

    2017-01-01

    This volume contains extended abstracts outlining selected talks and other selected presentations given by participants throughout the "Intensive Research Program on Advances in Nonsmooth Dynamics 2016", held at the Centre de Recerca Matemàtica (CRM) in Barcelona from February 1st to April 29th, 2016. They include brief research articles reporting new results, descriptions of preliminary work or open problems, and outlines of prominent discussion sessions. The articles are all the result of direct collaborations initiated during the research program. The topic is the theory and applications of Nonsmooth Dynamics. This includes systems involving elements of: impacting, switching, on/off control, hybrid discrete-continuous dynamics, jumps in physical properties, and many others. Applications include: electronics, climate modeling, life sciences, mechanics, ecology, and more. Numerous new results are reported concerning the dimensionality and robustness of nonsmooth models, shadowing variables, numbers of limit...

  17. Adjunct laboratory tests in support of US/German salt characterization program

    Energy Technology Data Exchange (ETDEWEB)

    Buchholz, Stuart A. [RESPEC, Rapid City, SD (United States)

    2014-07-01

    In summary, the goal of this activity is to complete a subset of a test matrix on salt from the Waste Isolation Pilot Plant (WIPP) undertaken by German research groups. The work will be performed at RESPEC in Rapid City, South Dakota, and is divided into three tasks.

  18. State-Controlled Multimedia Education for All? Science Programs in Early German Radio

    Science.gov (United States)

    Schirrmacher, Arne

    2012-01-01

    While science education and popularization by means of print media developed in quite similar forms in many nations, the advent of radio resulted in initiatives to bring science on the air that were rather heterogeneous from country to country. The German case stands out with respect to quantity, variety and ambition, and also for its special…

  19. A nonlinear model coupling rockfall and rainfall intensity based ewline on a four year measurement in a high Alpine rock wall (Reintal, German Alps

    Directory of Open Access Journals (Sweden)

    M. Krautblatter

    2009-08-01

    Full Text Available A total of more than 140 000 kg of small-magnitude rockfall deposits was measured in eight rockfall collectors of altogether 940 m2 in size between 1999–2003 below a 400–600 m high rock face in the Reintal, German Alps. Measurements were conducted with a temporal resolution up to single days to attribute rockfall intensity to observed triggering events. Precipitation was assessed by a rain gauge and high-resolution precipitation radar. Intense rainstorms triggered previously unreported rockfall intensities of up to 300 000 g/(m2h that we term "secondary rockfall event." In comparison to dry periods without frost (10−2g/(m2h, rockfall deposition increased by 2–218 times during wet freeze-thaw cycles and by 56-thousand to 40-million times during secondary rockfall events. We obtained three nonlinear logistic growth models that relate rockfall intensity [g/(m2h] to rainfall intensity [mm/h]. The models account for different rock wall intermediate storage volumes, triggering thresholds and storage depletion. They apply to all rockfall collector positions with correlations from R2=0.89 to 0.99. Thus, the timing of more than 90% of the encountered rockfall is explained by the triggering factor rainfall intensity. A combination of rockfall response models with radar-supported storm cell forecast could be used to anticipate hazardous rockfall events, and help to reduce the exposure of individuals and mobile structures (e.g. cable cars to the hazard. According to meteorological recordings, the frequency of these intense rockfall events is likely to increase in response to global warming.

  20. The German R&D Program for CO2 Utilization-Innovations for a Green Economy.

    Science.gov (United States)

    Mennicken, Lothar; Janz, Alexander; Roth, Stefanie

    2016-06-01

    Carbon capture and utilization (CCU) is a field of key emerging technologies. CCU can support the economy to decrease the dependency on fossil carbon raw materials, to stabilize electricity grids and markets with respect to a growing share of fluctuating renewable energy. Furthermore, it can contribute to mitigate anthropogenic CO2 emissions. The German Federal Ministry of Education and Research has provided substantial financial support for research and development projects, stimulating research, development, and innovations in the field of CO2 utilization. This review provides an overview over the most relevant funding measures in this field. Examples of successful projects demonstrate that CCU technologies are already economically viable or technologically ready for industrial application. CCU technologies as elements of a future "green economy" can contribute to reach the ambitious German sustainability targets with regard to climate protection as well as raw material productivity.

  1. Setting a research agenda to inform intensive comprehensive aphasia programs.

    Science.gov (United States)

    Hula, William D; Cherney, Leora R; Worrall, Linda E

    2013-01-01

    Research into intensive comprehensive aphasia programs (ICAPs) has yet to show that this service delivery model is efficacious, effective, has cost utility, or can be broadly implemented. This article describes a phased research approach to the study of ICAPs and sets out a research agenda that considers not only the specific issues surrounding ICAPs, but also the phase of the research. Current ICAP research is in the early phases, with dosing and outcome measurement as prime considerations as well as refinement of the best treatment protocol. Later phases of ICAP research are outlined, and the need for larger scale collaborative funded research is recognized. The need for more rapid translation into practice is also acknowledged, and the use of hybrid models of phased research is encouraged within the ICAP research agenda.

  2. The German quality indicators in intensive care medicine 2013 – second edition [Intensivmedizinische Qualitätsindikatoren für Deutschland 2013 – zweite Auflage

    Directory of Open Access Journals (Sweden)

    Weiler, Norbert

    2013-07-01

    Full Text Available [english] Quality indicators are key elements of quality management. The quality indicators for intensive care medicine of the German Interdisciplinary Society of Intensive Care Medicine (DIVI from the year 2010 were recently evaluated when their validity time expired after two years. Overall one indicator was replaced and further three were in part changed. The former indicator I “elevation of head of bed” was replaced by the indic “Daily multi-professional ward rounds with the documentation of daily therapy goals” and added to the indicator IV “Weaning and other measures to prevent ventilator associated pneumonias (short: Weaning/VAP Bundle” (VAP = ventilator-associated pneumonia which aims at the reduction of VAP incidence. The indicator VIII “Documentation of structured relative-/next-of-kin communication” was refined. The indic X “Direction of the ICU by a specially trained certified intensivist with no other clinical duties in a department” was also updated according to recent study results. These updated quality indicators are part of the Peer Review in intensive care medicine. The next update of the quality indicators is due in 2016.[german] Qualitätsindikatoren sind elementare Bestandteile des Qualitätsmanagements. Die Qualitätsindikatoren für die Intensivmedizin der Deutschen Interndisziplinären Vereinigung für Intensivmedizin (DIVI aus dem Jahre 2010 sind nun im Rahmen der geplanten Geltungsdauer überarbeitet und angepasst worden. Insgesamt wurde ein Indikator ersetzt und drei weitere zum Teil wesentlich überarbeitet. Der alte Indikator I „Oberkörperhochlagerung“ wurde durch den Indikator „Tägliche multiprofessionelle, klinische Visite mit Dokumentation von Tageszielen“ ersetzt und in den neu geschaffenen Indikator IV „Weaning und Maßnahmen zur Vermeidung von ventilatorassoziierten Pneumonien (kurz: Weaning/VAP Bundle“ (VAP = ventilator-assoziierte Pneumonie integriert, der auf ein

  3. Early mobility and walking program for patients in intensive care units: creating a standard of care

    National Research Council Canada - National Science Library

    Perme, Christiane; Chandrashekar, Rohini

    2009-01-01

    .... An early mobility and walking program was developed to provide guidelines for early mobility that would assist clinicians working in intensive care units, especially clinicians working with patients...

  4. Measuring Outcomes of an Intensive Care Unit Family Diary Program.

    Science.gov (United States)

    Huynh, Truong-Giang; Covalesky, Miranda; Sinclair, Samantha; Gunter, Heather; Norton, Tamara; Chen, Alice; Yi, Cassia

    2017-01-01

    Patients discharged from intensive care units are at risk of short- and long-term physical, cognitive, and emotional symptoms known as post-intensive care syndrome. Family members of intensive care unit patients are at risk of similar symptoms known as post-intensive care syndrome-family. Both syndromes are common, and strategies to reduce risk factors should be employed. An intensive care unit diary project to help reduce these syndromes was implemented in 2 intensive care units using an evidence-based framework. The effects of these diaries were studied using the Family Satisfaction with Care in the Intensive Care Unit survey. Rates of referrals to a postintensive care unit recovery clinic were also observed in relation to the diaries. Although preliminary data did not reveal a significant increase in family satisfaction, the surveys provided important staff feedback. The diaries fostered feelings of compassion and caring as well as built trust between staff and family members of intensive care unit patients. The diaries increased referrals to the postintensive care unit recovery clinic. ©2017 American Association of Critical-Care Nurses.

  5. Practice of hemodynamic monitoring and management in German, Austrian, and Swiss intensive care units: the multicenter cross-sectional ICU-CardioMan Study.

    Science.gov (United States)

    Funcke, Sandra; Sander, Michael; Goepfert, Matthias S; Groesdonk, Heinrich; Heringlake, Matthias; Hirsch, Jan; Kluge, Stefan; Krenn, Claus; Maggiorini, Marco; Meybohm, Patrick; Salzwedel, Cornelie; Saugel, Bernd; Wagenpfeil, Gudrun; Wagenpfeil, Stefan; Reuter, Daniel A

    2016-12-01

    Hemodynamic instability is frequent and outcome-relevant in critical illness. The understanding of complex hemodynamic disturbances and their monitoring and management plays an important role in treatment of intensive care patients. An increasing number of treatment recommendations and guidelines in intensive care medicine emphasize hemodynamic goals, which go beyond the measurement of blood pressures. Yet, it is not known to which extent the infrastructural prerequisites for extended hemodynamic monitoring are given in intensive care units (ICUs) and how hemodynamic management is performed in clinical practice. Further, it is still unclear which factors trigger the use of extended hemodynamic monitoring. In this multicenter, 1-day (November 7, 2013, and the preceding 24 h) cross-sectional study, we retrieved data on patient monitoring from ICUs in Germany, Austria, and Switzerland by means of a web-based case report form. One hundred and sixty-one intensive care units contributed detailed information on availability of hemodynamic monitoring. In addition, detailed information on hemodynamic monitoring of 1789 patients that were treated on due date was collected, and independent factors triggering the use of extended hemodynamic monitoring were identified by multivariate analysis. Besides basic monitoring with electrocardiography (ECG), pulse oximetry, and blood pressure monitoring, the majority of patients received invasive arterial (77.9 %) and central venous catheterization (55.2 %). All over, additional extended hemodynamic monitoring for assessment of cardiac output was only performed in 12.3 % of patients, while echocardiographic examination was used in only 1.9 %. The strongest independent predictors for the use of extended hemodynamic monitoring of any kind were mechanical ventilation, the need for catecholamine therapy, and treatment backed by protocols. In 71.6 % of patients in whom extended hemodynamic monitoring was added during the study period

  6. 78 FR 13566 - Energy Conservation Program for High-Intensity Discharge Lamps: Public Meeting and Availability...

    Science.gov (United States)

    2013-02-28

    ... Part 431 RIN 1904-AC36 Energy Conservation Program for High-Intensity Discharge Lamps: Public Meeting... conservation standards for high-intensity discharge (HID) lamps. The meeting will cover the analytical... High-Intensity Discharge Lamps, EERE-2010-BT-STD-0043 and/or RIN 1904-AC36, 1000 Independence Avenue SW...

  7. Intensive lifestyle intervention including high-intensity interval training program improves insulin resistance and fasting plasma glucose in obese patients

    Directory of Open Access Journals (Sweden)

    Guillaume Marquis-Gravel

    2015-01-01

    Conclusion: Following a 9-month intensive lifestyle intervention combining HIIT and MedD counseling, obese subjects experienced significant improvements of FPG and insulin resistance. This is the first study to expose the effects of a long-term program combining HIIT and MedD on glycemic control parameters among obese subjects.

  8. THE EFFECT OF LEARNING TECHNIQUE AND LOCUS OF CONTROL ON STUDENTS COMPETENCE IN TRANSLATING FROM GERMAN TEXT INTO INDONESIAN ( AN EXPERIMENT AT GERMAN STUDY PROGRAM OF MAKASSAR STATE UNIVERSITY

    Directory of Open Access Journals (Sweden)

    Misnah Mannahali

    2015-12-01

    Full Text Available The aim of this research was to find out the effect of learning technique and Locus of Control on students competence in translating from German Text into Indonesian. The research was conducted at the fourth semester on German Study Program in the academic years 2013/2014. It was an eksprimental study with 2 x 2 factorial design. The sample was 40 students. It was divided into two groups, each group experiment consisting of 20 students where 10 students had Internal Locus of Control and 10 others had external Locus of Control. The data was collected by using two kinds of test : Locus of Control test and test of translating from German Text into Indonesian. ANAVA and Tukey test were used to analyse the data. The results of this research concludes that generally Jigsaw learning technique was more effective than STAD learning technique, that is : 18,65 > 17,35. The result of this research also conclude that, the students who have internal Locus of Control when following lectures with STAD learning technique is higher ( 20,2 than Jigsaw learning technique ( 17,1 . On the contrary students with external Locus of Control showing that Jigsaw learning technique (20,2 is better than STAD learning technique ( 14,5 .The finding that Jigsaw and STAD learning technique can be used in teaching translation, however in choosing the teaching technique students’ Locus of Control should be considered.

  9. Learning Strategy Preferences in an Intensive English Program

    Science.gov (United States)

    Shumaker, Melody G.

    2010-01-01

    This descriptive study utilized frequency data to identify and describe the learning strategy preferences of English as a Second Language learners at an Intensive English Institute in Tulsa, Oklahoma. Qualitative data were gathered by journals, observations, and interviews. Additionally, feedback from teacher observations were gathered. The 36…

  10. FERMILAB ACCELERATOR R&D PROGRAM TOWARDS INTENSITY FRONTIER ACCELERATORS : STATUS AND PROGRESS

    Energy Technology Data Exchange (ETDEWEB)

    Shiltsev, Vladimir [Fermilab

    2016-11-15

    The 2014 P5 report indicated the accelerator-based neutrino and rare decay physics research as a centrepiece of the US domestic HEP program at Fermilab. Operation, upgrade and development of the accelerators for the near- term and longer-term particle physics program at the Intensity Frontier face formidable challenges. Here we discuss key elements of the accelerator physics and technology R&D program toward future multi-MW proton accelerators and present its status and progress. INTENSITY FRONTIER ACCELERATORS

  11. Informed Choice in the German Mammography Screening Program by Education and Migrant Status: Survey among First-Time Invitees.

    Directory of Open Access Journals (Sweden)

    Eva-Maria Berens

    Full Text Available Breast cancer is the most prevalent cancer among women and mammography screening programs are seen as a key strategy to reduce breast cancer mortality. In Germany, women are invited to the population-based mammography screening program between ages 50 to 69. It is still discussed whether the benefits of mammography screening outweigh its harms. Therefore, the concept of informed choice comprising knowledge, attitude and intention has gained importance. The objective of this observational study was to assess the proportion of informed choices among women invited to the German mammography screening program for the first time. A representative sample of 17,349 women aged 50 years from a sub-region of North Rhine Westphalia was invited to participate in a postal survey. Turkish immigrant women were oversampled. The effects of education level and migration status on informed choice and its components were assessed. 5,847 (33.7% women responded to the postal questionnaire of which 4,113 were used for analyses. 31.5% of the women had sufficient knowledge. The proportion of sufficient knowledge was lower among immigrants and among women with low education levels. The proportion of women making informed choices was low (27.1%, with similar associations with education level and migration status. Women of low (OR 2.75; 95% CI 2.18-3.46 and medium education level (OR 1.49; 95% CI 1.27-1.75 were more likely to make an uninformed choice than women of high education level. Turkish immigrant women had the greatest odds for making an uninformed choice (OR 5.30, 95% CI 1.92-14.66 compared to non-immigrant women. Other immigrant women only had slightly greater odds for making an uninformed choice than non-immigrant women. As immigrant populations and women with low education level have been shown to have poor knowledge, they need special attention in measures to increase knowledge and thus informed choices.

  12. Informed Choice in the German Mammography Screening Program by Education and Migrant Status: Survey among First-Time Invitees.

    Science.gov (United States)

    Berens, Eva-Maria; Reder, Maren; Razum, Oliver; Kolip, Petra; Spallek, Jacob

    2015-01-01

    Breast cancer is the most prevalent cancer among women and mammography screening programs are seen as a key strategy to reduce breast cancer mortality. In Germany, women are invited to the population-based mammography screening program between ages 50 to 69. It is still discussed whether the benefits of mammography screening outweigh its harms. Therefore, the concept of informed choice comprising knowledge, attitude and intention has gained importance. The objective of this observational study was to assess the proportion of informed choices among women invited to the German mammography screening program for the first time. A representative sample of 17,349 women aged 50 years from a sub-region of North Rhine Westphalia was invited to participate in a postal survey. Turkish immigrant women were oversampled. The effects of education level and migration status on informed choice and its components were assessed. 5,847 (33.7%) women responded to the postal questionnaire of which 4,113 were used for analyses. 31.5% of the women had sufficient knowledge. The proportion of sufficient knowledge was lower among immigrants and among women with low education levels. The proportion of women making informed choices was low (27.1%), with similar associations with education level and migration status. Women of low (OR 2.75; 95% CI 2.18-3.46) and medium education level (OR 1.49; 95% CI 1.27-1.75) were more likely to make an uninformed choice than women of high education level. Turkish immigrant women had the greatest odds for making an uninformed choice (OR 5.30, 95% CI 1.92-14.66) compared to non-immigrant women. Other immigrant women only had slightly greater odds for making an uninformed choice than non-immigrant women. As immigrant populations and women with low education level have been shown to have poor knowledge, they need special attention in measures to increase knowledge and thus informed choices.

  13. The Benefits of High Intensity Functional Training (HIFT) Fitness Programs for Military Personnel

    Science.gov (United States)

    Haddock, Christopher K.; Poston, Walker S.C.; Heinrich, Katie M.; Jahnke, Sara A.; Jitnarin, Nattinee

    2016-01-01

    High intensity functional training (HIFT) programs are designed to address multiple fitness domains, potentially providing improved physical and mental readiness in a changing operational environment. Programs consistent with HIFT principals such as CrossFit, SEALFIT and the US Marine Corps’ High Intensity Tactical Training (HITT) program are increasingly popular among military personnel. This article reviews the practical, health, body composition, and military fitness implications of HIFT exercise programs. We conclude that, given the unique benefits of HIFT, the military should consider evaluating whether these programs should be the standard for military fitness training. PMID:27849484

  14. Proton Beam Intensity Upgrades for the Neutrino Program at Fermilab

    Energy Technology Data Exchange (ETDEWEB)

    Bhat, C. M. [Fermilab

    2016-12-15

    Fermilab is committed to upgrading its accelerator complex towards the intensity frontier to pursue HEP research in the neutrino sector and beyond. The upgrade has two steps: 1) the Proton Improvement Plan (PIP), which is underway, has its primary goal to start providing 700 kW beam power on NOvA target by the end of 2017 and 2) the foreseen PIP–II will replace the existing LINAC, a 400 MeV injector to the Booster, by an 800 MeV superconducting LINAC by the middle of next decade, with output beam intensity from the Booster increased significantly and the beam power on the NOvA target increased to <1.2 MW. In any case, the Fermilab Booster is going to play a very significant role for the next two decades. In this context, we have recently developed and commissioned an innovative beam injection scheme for the Booster called "early injection scheme". This scheme is already in operation and has a potential to increase the Booster beam intensity from the PIP design goal by a considerable amount with a reduced beam emittance and beam loss. In this paper, we will present results from our experience from the new scheme in operation, current status and future plans.

  15. Benefit and adherence of the disease management program "diabetes 2": a comparison of Turkish immigrants and German natives with diabetes.

    Science.gov (United States)

    Makowski, Anna Christin; Kofahl, Christopher

    2014-09-17

    There is an ongoing debate about equity and equality in health care, and whether immigrants benefit equally from services as the non-immigrant population. The study focuses on benefits from and adherence to the diabetes mellitus type 2 (DM 2) disease management program (DMP) among Turkish immigrants in Germany. So far, it has not been researched whether this group benefits from enrollment in the DMP as well as diabetics from the non-immigrant population. Data on the non-immigrant sample (N = 702) stem from a survey among members of a German health insurance, the Turkish immigrant sample (N = 102) was recruited in the area of Hamburg. Identical questions in both surveys enable comparing major components. Regarding process quality, Turkish diabetics do not differ from the non-immigrant sample; moreover, they have significantly more often received documentation and diabetes training. In terms of outcome quality however, results display a greater benefit on behalf of the non-immigrant sample (e.g., blood parameters and body mass index), and they also met more of the DMP criteria. This underlines the need of diabetics with Turkish background for further education and information in order to become the empowered patient as is intended by the DMP as well as to prevent comorbidities.

  16. Gas reactor international cooperative program interim report: German Pebble Bed Reactor design and technology review

    Energy Technology Data Exchange (ETDEWEB)

    1978-09-01

    This report describes and evaluates several gas-cooled reactor plant concepts under development within the Federal Republic of Germany (FRG). The concepts, based upon the use of a proven Pebble Bed Reactor (PBR) fuel element design, include nuclear heat generation for chemical processes and electrical power generation. Processes under consideration for the nuclear process heat plant (PNP) include hydrogasification of coal, steam gasification of coal, combined process, and long-distance chemical heat transportation. The electric plant emphasized in the report is the steam turbine cycle (HTR-K), although the gas turbine cycle (HHT) is also discussed. The study is a detailed description and evaluation of the nuclear portion of the various plants. The general conclusions are that the PBR technology is sound and that the HTR-K and PNP plant concepts appear to be achievable through appropriate continuing development programs, most of which are either under way or planned.

  17. Validation of the German revised version of the program in palliative care education and practice questionnaire (PCEP-GR).

    Science.gov (United States)

    Fetz, Katharina; Wenzel-Meyburg, Ursula; Schulz-Quach, Christian

    2017-12-28

    The evaluation of the effectiveness of undergraduate palliative care education (UPCE) programs is an essential foundation to providing high-quality UPCE programs. Therefore, the implementation of valid evaluation tools is indispensable. Until today, there has been no general consensus regarding concrete outcome parameters and their accurate measurement. The Program in Palliative Care Education and Practice Questionnaire (German Revised Version; PCEP-GR) is a promising assessment tool for UPCE. The aim of the current study was to evaluate the psychometric properties of PCEP-GR and to demonstrate its feasibility for the evaluation of UPCE programs. The practical feasibility of the PCEP-GR and its acceptance in medical students were investigated in a pilot study with 24 undergraduate medical students at Heinrich Heine University Dusseldorf, Germany. Subsequently, the PCEP-GR was surveyed in a representative sample (N = 680) of medical students in order to investigate its psychometric properties. Factorial validity was investigated by means of principal component analysis (PCA). Reliability was examined by means of split-half-reliability analysis and analysis of internal consistency. After taking into consideration the PCA and distribution analysis results, an evaluation instruction for the PCEP-GR was developed. The PCEP-GR proved to be feasible and well-accepted in medical students. PCA revealed a four-factorial solution indicating four PCEP-GR subscales: preparation to provide palliative care, attitudes towards palliative care, self-estimation of competence in communication with dying patients and their relatives and self-estimation of knowledge and skills in palliative care. The PCEP-GR showed good split-half-reliability and acceptable to good internal consistency of subscales. Attitudes towards palliative care slightly missed the criterion of acceptable internal consistency. The evaluation instruction suggests a global PCEP-GR index and four subscales. The

  18. Insights from the German Compassionate Use Program of Nintedanib for the Treatment of Idiopathic Pulmonary Fibrosis.

    Science.gov (United States)

    Bonella, Francesco; Kreuter, Michael; Hagmeyer, Lars; Neurohr, Claus; Keller, Claus; Kohlhaeufl, Martin J; Müller-Quernheim, Joachim; Milger, Katrin; Prasse, Antje

    2016-01-01

    Nintedanib is approved for the treatment of idiopathic pulmonary fibrosis (IPF) and has been shown to slow disease progression by reducing annual lung function decline. To evaluate the results of a large cohort of IPF patients treated with nintedanib within a compassionate use program (CUP) in Germany (9 centers). Patients (≥40 years) were required to have a confirmed diagnosis of IPF, a forced vital capacity (FVC) ≥50% predicted (pred.) and a carbon monoxide diffusing capacity (DLCO) 30-79% pred. and not to be eligible for pirfenidone treatment. Clinical data, pulmonary function tests and adverse events were recorded up to July 2015. Sixty-two patients (48 male/14 female) with moderate IPF (FVC 64 ± 17% pred. and DLCO 40 ± 10% pred.) were treated with nintedanib. 77% of patients switched from pirfenidone (mean treatment duration 14 ± 2 months) mostly due to disease progression (mean decline in FVC 7.4 ± 3% pred. in the 6 months prior to nintedanib intake). Initiation of nintedanib treatment occurred 69 ± 29 months after IPF diagnosis, and mean treatment duration was 8 ± 4 months. Most patients (63%) stabilized 6 months after treatment start (mean FVC decline 3 ± 1 vs. -17 ± 2% in patients with disease progression; p Nintedanib treatment was generally well tolerated and was associated with FVC stabilization in the majority of IPF patients in this CUP setting where most patients were not treatment naïve. Our data are in agreement with the previously published data. © 2016 The Author(s) Published by S. Karger AG, Basel.

  19. An exploration of participants' experience of an intensive care nursing transition to specialty practice program.

    Science.gov (United States)

    Madhuvu, Auxillia E; Plummer, Virginia; Morphet, Julia

    2017-09-26

    Transition to specialty practice programs were developed to support, educate and facilitate recruitment and retention of nurses in specialised areas of practice. The intensive care nursing transition to specialty practice program in this study was implemented in 2000. To date, in Australia there are no published studies which focus on intensive care nursing transition to specialty practice programs. The study aimed to explore the effects of an intensive care nursing transition to specialty practice program offered in two intensive care units in a single Australian health service. A cross-sectional survey design was used. Quantitative data were collected from nurses who participated in the transition to specialty practice program from 2005 to 2015 using an anonymous online survey. Summary statistics and Chi-square tests were used to analyse the data. The response rate was 51.8% (n=86). Most of the transition to specialty practice program participants had medical nursing experience (n=35, 40.7%) or surgical nursing experience (n=35, 40.7%) prior to enrolling into the program. More than half (n=46, 53.5%) of the participants had worked in the intensive care units for more than two years post program. The majority of the participants (n=60, 69.8%) undertook post graduate education after the transition to specialty practice program. Significant numbers of experienced nurses undertook transition to specialty practice program into intensive care and majority of the participants reported positive results of the program. Copyright © 2017 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  20. Programming Sustainable Urban Nodes for Spontaneous, Intensive Urban Environments

    Science.gov (United States)

    Szubryt-Obrycka, Adriana

    2017-10-01

    Urban development nowadays, not only in Poland but also throughout the world, is an important issue for planners, municipal authorities and residents themselves. New structures generated in spontaneous urban and suburban areas constitute randomly scattered seeds of excessive residential and little commercial functions which therein appear more often as temporary or even ephemeral installations emerging where it is temporarily needed. The more important special services are provided rarely. Correct thinking about creating cities involves simultaneous thinking on providing different basic functions required by local communities, but at the same time recognizing temporal fluctuations and distinction on what kind of amenities have to be provided in particular area permanently (such as e.g. medical care, preventive services and schools), with others retaining its mobile, non-formal character. An even greater problem is a restoration of urban structures in the areas affected by natural disasters or leftover areas being previously war zones, where similar deficits have significantly higher impact being potential cause of higher toll in human lives, if no functional nodes providing essential functions survived. The Ariadne’s Thread is a research project which proposes infrastructure and nodes for such urban areas. It develops new framework for creating nodes not only aimed at fulfilling basic needs of people but achieving social integration and build stability for fragile communities. The aim of the paper is to describe the process of identification of a relationship between needs of the inhabitants and both programmatic and ideological approach to Ariadne’s Thread (AT) node giving ultimately its architectural interpretation. The paper will introduce the process of recognition of local needs, the interpretive and/or participatory mechanisms of establishing the node as a response to this recognition containing conceptual programming, socio-cultural programming, and

  1. Computationally intensive econometrics using a distributed matrix-programming language.

    Science.gov (United States)

    Doornik, Jurgen A; Hendry, David F; Shephard, Neil

    2002-06-15

    This paper reviews the need for powerful computing facilities in econometrics, focusing on concrete problems which arise in financial economics and in macroeconomics. We argue that the profession is being held back by the lack of easy-to-use generic software which is able to exploit the availability of cheap clusters of distributed computers. Our response is to extend, in a number of directions, the well-known matrix-programming interpreted language Ox developed by the first author. We note three possible levels of extensions: (i) Ox with parallelization explicit in the Ox code; (ii) Ox with a parallelized run-time library; and (iii) Ox with a parallelized interpreter. This paper studies and implements the first case, emphasizing the need for deterministic computing in science. We give examples in the context of financial economics and time-series modelling.

  2. Influence of intense training program on cardio stress index

    Directory of Open Access Journals (Sweden)

    Peet J. du Toit

    2014-02-01

    Full Text Available Armed service recruits are faced with many stressors, including a strenuous training regimen that may have an impact on their physiological functioning. The Cardio Stress Index (CSI is a noninvasive marker of the stress that the heart is experiencing. The aim of the study was to test the physiological impact of 20 weeks of intense training of armed service recruits, using CSI as a noninvasive biomarker of cardiac stress. Armed service recruits are faced with many stressors, including a strenuous training regimen that may have an impact on their physiological functioning. The CSI is a noninvasive marker of the stress that the heart is experiencing. The calculation of the CSI is based on the duration of vascular excitation (QRS duration, heart rate, heart rhythm and standard deviation of the duration of time between each successive cardiac cycle (RR-interval. The aim of the present study was to test the physiological impact of 20 weeks of strenuous training of armed service recruits, using CSI as a noninvasive biomarker of cardiac stress. Experiments were conducted at three points in time (weeks 1, 12, 20 during the basic military training of armed service recruits (n = 202, males = 115, females = 87, aged between 18 and 24 years. Variables measured include: Resting CSI, heart rate and blood pressure. Data analysis was performed, using paired t-tests for pairwise comparisons of week 1 (baseline with week 12; week 12 with week 20; and week 1 with week 20. The average CSI and heart rate remained within normal values for male participants on all three testing occasions. However, baseline readings for females were significantly higher during week 1. There was an overall decrease in the CSI in the 20 week time frame. From this study it seems as if the CSI measurement is a noninvasive method to establish the effects of training on the health of the heart.

  3. Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients with Eating Disorders

    Science.gov (United States)

    Federici, Anita; Wisniewski, Lucene; Ben-Porath, Denise

    2012-01-01

    The authors describe an intensive outpatient dialectical behavior therapy (DBT) program for multidiagnostic clients with eating disorders who had not responded adequately to standard, empirically supported treatments for eating disorders. The program integrates DBT with empirically supported cognitive behavior therapy approaches that are well…

  4. The Effects of an Intensive Tutor Training Component in a Peer Tutoring Program.

    Science.gov (United States)

    Greenfield, Susan D.; McNeil, Mary E.

    1987-01-01

    An intensive 10-day peer tutor training component is described as a key element in the success of a peer tutoring program in mathematics for 21 low-achieving second graders. Results suggest the program's effectiveness in increasing the speed and accuracy of responses on written speed tests of addition facts. (Author/JW)

  5. Recidivism of Offenders with Mental Illness Released from Prison to an Intensive Community Treatment Program

    Science.gov (United States)

    Theurer, Gregory; Lovell, David

    2008-01-01

    An intensive case management treatment program for mentally ill offenders (MIOs) is outlined, and subsequent recidivism of participants is evaluated. Features of the program and its development are discussed. Sixty-four (64) participants released from state prison between 1998 and 2003 were matched with a group of MIOs released earlier on eight…

  6. Preliminary Evaluation of Treatment Outcomes at a Military Intensive Outpatient Program.

    Science.gov (United States)

    Hoyt, Tim; Barry, David; Kwon, So Heui; Capron, Claire; De Guzman, Noriko; Gilligan, James; Edwards-Stewart, Amanda

    2017-10-12

    Recent U.S. Army policy has established intensive outpatient programs at several installations as part of a comprehensive behavioral health system of care. This study presents retrospective program evaluation data from a case series without randomization or a control group at 1 recently established intensive outpatient program for active duty service members at a joint military installation. Out of 240 patients referred to the program at 1 installation, 200 enrolled in treatment. Of these, 169 completed treatment in a Skills & Resiliency Track (n = 97), Trauma Track (n = 34), or both (Combined Track; n = 38). Patients completed measures of posttraumatic stress symptoms and general distress throughout program enrollment. First year preliminary results show significant decreases in distress for those in the Skills & Resiliency and Combined groups. Trauma group patients showed significant decreases in posttraumatic stress symptoms. Patients in the Skills & Resiliency and Combined groups showed significant decreases in rates of psychiatric hospitalization. These results show potential for treating high-risk or treatment-resistant patients in a half-day intensive outpatient program. Lessons learned and recommendations for establishing intensive outpatient programming for the military are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  7. Investigation for integration of the German Public Health Service in catastrophe and disaster prevention programs in Germany; Untersuchung zur Einbindung des Oeffentlichen Gesundheitsdienstes in die katastrophenmedizinische Vesorgung in der Bundesrepublik Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Pfenninger, E.; Koenig, S. [Universitaetsklinik fuer Anaesthesiologie, Ulm (Germany); Himmelseher, S. [Klinikum rechts der Isar, Technische Univ. Muenchen (Germany)

    2004-07-01

    This research project aimed at investigating the integration of the GPHS into the plans for civil defence and protection as well as catastrophe prevention of the Federal Republic of Germany. Following a comprehensive analysis of the current situation, potential proposals for an improved integrative approach will be presented. In view of the lack of topics relevant for medical care in disaster medicine in educational curricula and training programs for medical students and postgraduate board programs for public health physicians, a working group of the Civil Protection Board of the German Federal Ministry of the Interior already complained in their 'Report on execution of legal rules for protection and rescue of human life as well as restitution of public health after disaster' in 1999, that the integration of the GPHS into catastrophe and disaster prevention programs has insufficiently been solved. On a point-by-point approach, our project analysed the following issues: - Legislative acts for integration of the German Public Health Service into medical care in catastrophes and disasters to protect the civilian population of Germany and their implementation and execution. - Administrative rules and directives on state and district levels that show relationship to integration of the German Public Health Service into preparedness programs for catastrophe prevention and management and their implementation and execution. - Education and postgraduate training options for physicians and non-physician employees of the German Public health Service to prepare for medical care in catastrophes and disasters. - State of knowledge and experience of the German Public Health Service personnel in emergency and disaster medicine. - Evaluation of the German administrative catastrophe prevention authorities with regard to their integration of the German Public Health Service into preparedness programs for catastrophe prevention and management. - Development of a concept to

  8. South Atlantic Margin Processes and Links with Onshore Evolution: Overview of the German Priority Program SAMPLE (Invited)

    Science.gov (United States)

    Trumbull, R. B.

    2013-12-01

    Since 2009 the SAMPLE program (www.spp-sample.de) provides a platform for research into the causes and effects of continental breakup and the evolution of passive margins. SAMPLE encompasses 28 projects from 13 German institutions and many international partnerships. The 6-year program will run through 2015. At the core of the program are observational studies that are interlinked by modelling projects examining the interplay of deep mantle dynamics, lithospheric stress fields, pre-rift fabric and melt-weaking on localizing rifting. Geophysics teams collect and integrate existing data from wide-angle seismic profiles, reprocessed multichannel seismics, as well as gravity, magnetics and heat-flow studies to construct self-consistent lithospheric-scale 3-D models along the conjugate margins. Key interests are variations in margin architecture, distribution of magmatic features and the evolution of sedimentary basins (subsidence and thermal histories). An exciting new contribution of SAMPLE geophysics is a linked set of seismic, seismologic and magnetotelluric experiments along the Walvis Ridge, including onshore NW Namibia and the Tristan da Cunha hotspot. In the deep mantle, we examine evidence from global seismic tomography for dramatic low seismic-velocity regions near the core-mantle boundary beneath southern Africa and their implications for dynamics in the deep Earth and the thermo-chemical nature of plumes. Petrologic studies focus on near-primary mantle melts represented by Mg-rich mafic dikes. Projects address the origin of magmas and crust-mantle interaction, and the environmental impact of mega-scale volcanism during breakup. Thermobarometry results from the African margin reveal a N-to-S decrease in mantle potential temperatures from 1520°C (N) to 1380° (S), which supports a thermal plume origin for excessive melt production in the north. Thermochronology data from both conjugate margins reveal complex and puzzling patterns in the denudation history

  9. Cardiorespiratory response to aerobic exercise programs with different intensity: 20 weeks longitudinal study.

    Science.gov (United States)

    Hulke, Sandip Meghnad; Phatak, Mrunal S; Vaidya, Yuganti P

    2012-07-01

    participation in regular intensive exercise is associated with a modest increase in left ventricular wall thickness and cavity size. The magnitude of improvement depends on frequency, intensity, type, and duration of exercise program. to determine the effect of sports training on LV morphology and function, lung function, and to know the intensity of the exercise program enough for these changes. this was a longitudinal study (20 weeks duration) done on the medical college students. three groups, doing exercise at different intensities, high intensity group (HG) [74.9±3.9 %HRmax], low intensity group (LG) [59.46±4.1%HRmax] and no exercise group (NG) were made, and their assessments were done using the echocardiography and pulmonary function test three times, first before start of the exercise program, second at the end of 10th week, and then at the end of the 20th week. 3 × 3 Anova test and Bonferroni's post-test using Graph pad prism5 software. significant improvement was seen in HG in majority of cardio respiratory parameters (VO2max, heart rate, LVIDD, LVIDS, EDV, MVV, PEFR, FVC) as compared to the LG (VO2max, heart rate, MVV, PEFR) and this improvement was specially seen at the end of the twentieth week. twenty weeks of training is helpful in improving aerobic power, MVV, and PEFR even the exercise is of moderate (LG) to high intensity (HG) but for overall cardio respiratory development physical training must be associated with very hard intensity if duration of the exercise program is short.

  10. Cardiorespiratory response to aerobic exercise programs with different intensity: 20 weeks longitudinal study

    Directory of Open Access Journals (Sweden)

    Sandip Meghnad Hulke

    2012-01-01

    Full Text Available Context: participation in regular intensive exercise is associated with a modest increase in left ventricular wall thickness and cavity size. The magnitude of improvement depends on frequency, intensity, type, and duration of exercise program. Aims: to determine the effect of sports training on LV morphology and function, lung function, and to know the intensity of the exercise program enough for these changes. Settings and design: this was a longitudinal study (20 weeks duration done on the medical college students. Material and methods: three groups, doing exercise at different intensities, high intensity group (HG [74.9±3.9 %HRmax], low intensity group (LG [59.46±4.1%HRmax] and no exercise group (NG were made, and their assessments were done using the echocardiography and pulmonary function test three times, first before start of the exercise program, second at the end of 10th week, and then at the end of the 20th week. Statistical analysis used: 3 × 3 Anova test and Bonferroni′s post-test using Graph pad prism5 software. Results: significant improvement was seen in HG in majority of cardio respiratory parameters (VO2max, heart rate, LVIDD, LVIDS, EDV, MVV, PEFR, FVC as compared to the LG (VO2max, heart rate, MVV, PEFR and this improvement was specially seen at the end of the twentieth week. Conclusions: twenty weeks of training is helpful in improving aerobic power, MVV, and PEFR even the exercise is of moderate (LG to high intensity (HG but for overall cardio respiratory development physical training must be associated with very hard intensity if duration of the exercise program is short.

  11. Transition to intensive care nursing: a state-wide, workplace centred program-12 years on.

    Science.gov (United States)

    Juers, Alison; Wheeler, Margaret; Pascoe, Helen; Gregory, Nicola; Steers, Cheryl

    2012-05-01

    In November 1999, the Queensland Health (QH) Transition to Practice Nurse Education Program - Intensive Care (TPNEP-IC) was initiated in QH Intensive Care Units (ICUs) across Queensland. This 12-month, state-wide, workplace based education program has set minimum standards for intensive care nursing education and therefore minimum standards for intensive care nursing practice in QH. In the 12 years of operation, 824 nurses have completed TPNEP-IC, 761 achieving academic credit status and 453 utilising this academic credit status to undertake postgraduate study in critical/intensive care nursing at three Queensland universities. These outcomes were achieved through the appointment of nurse educators within ICUs who, through a united and strong commitment to this state-wide approach formed collaborative professional networks, which resulted in the development, implementation and maintenance of the program. Furthermore, these networks enabled a framework of support for discussion and dissemination of evidence based practice, to endorse quality processes for TPNEP-IC and to nurture leadership potential among educators. Challenges to overcome included obtaining adequate resources to support all aspects of the program, gaining local management and administrative support, and embedding TPNEP-IC within ICU culture. The 12 years of operation of the program have demonstrated its long term sustainability. The program is being launched through a new blended learning approach utilising e-learning strategies. To capitalise on the current success, a strong commitment by all stakeholders will be required to ensure the ongoing sustainability of the program. Copyright © 2011 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  12. Outcomes and Utilization of a Low Intensity Workplace Weight Loss Program

    OpenAIRE

    Carpenter, Kelly M.; Jennifer C. Lovejoy; Lange, Jane M.; Jenny E. Hapgood; Zbikowski, Susan M.

    2014-01-01

    Obesity is related to high health care costs and lost productivity in the workplace. Employers are increasingly sponsoring weight loss and wellness programs to ameliorate these costs. We evaluated weight loss outcomes, treatment utilization, and health behavior change in a low intensity phone- and web-based, employer-sponsored weight loss program. The intervention included three proactive counseling phone calls with a registered dietician and a behavioral health coach as well as a comprehensi...

  13. Investigating the Efficacy of an Intensive English Program and the L2 Learners' Learning Styles

    Science.gov (United States)

    Ping, Rebecca Lee Su

    2014-01-01

    Past research has found that many pre-university L2 learners, having completed an Intensive English Program (IEP) still have difficulty in undertaking various disciplines in English-speaking tertiary institutions and continue to exhibit numerous linguistic problems (Bialystok, 2001, Celce Murcia 2001). The purpose of this paper is to present the…

  14. Industrial Technologies Program Research Plan for Energy-Intensive Process Industries

    Energy Technology Data Exchange (ETDEWEB)

    Chapas, Richard B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Colwell, Jeffery A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2007-10-01

    In this plan, the Industrial Technologies Program (ITP) identifies the objectives of its cross-cutting strategy for conducting research in collaboration with industry and U.S. Department of Energy national laboratories to develop technologies that improve the efficiencies of energy-intensive process industries.

  15. Teacher and Student Perspectives on a Blended Learning Intensive English Program Writing Course

    Science.gov (United States)

    Larsen, Lars Jacob Ege

    2012-01-01

    The use of Blended Learning (BL) in higher education has increased significantly during the past decade. This dissertation investigates the use of BL with ESL writing students in an intensive English program. The purpose was to investigate how to prepare ESL teachers to create a productive BL environment for their ESL writing students. This…

  16. Social Networking in an Intensive English Program Classroom: A Language Socialization Perspective

    Science.gov (United States)

    Reinhardt, Jonathon; Zander, Victoria

    2011-01-01

    This ongoing project seeks to investigate the impact, inside and outside of class, of instruction focused on developing learner awareness of social-networking site (SNS) use in an American Intensive English Program (IEP). With language socialization as an interpretative framework (Duff, in press; Ochs, 1988; Watson-Gegeo, 2004), the project uses a…

  17. A meta-analysis of intensive family preservation programs: placement prevention and improvement of family functioning

    NARCIS (Netherlands)

    Al, C.M.W.; Stams, G.J.J.M.; Bek, M.S.; Damen, E.M.; Asscher, J.J.; van der Laan, P.H.

    2012-01-01

    The aims of the present study were, first, to establish the effect of brief, in-home intensive family preservation programs on prevention of out-of-home placement, family functioning, child behavior problems and social support and, second, to study moderators of these effects. The results of this

  18. [Effects of an intensive thalassotherapy and aquatic therapy program in stroke patients. A pilot study].

    Science.gov (United States)

    Morer, C; Boestad, C; Zuluaga, P; Alvarez-Badillo, A; Maraver, F

    2017-09-16

    Stroke remains the leading cause of acquired disability. Health and social planning and management may vary and although prevention is crucial, having better treatments and strategies to reduce disability is needed. To determine the effect of an intensive program of thalassotherapy and aquatic therapy in stroke patients, valuing clinical parameters and functional validated scales. A quasi-experimental prospective study consisting of a specific program assessed pre- and post- 3 weeks treatment to 26 stroke patients with a mild-moderate disability. The outcomes measured were: Berg Balance scale, Timed Up and Go test, 10-meter walking test, 6-minute walking test and pain Visual Analogue Scale. After intervention, participants had a significant improvement in all outcomes measured. Our results suggest that an intensive program of thalassotherapy and aquatic therapy could be useful during stroke rehabilitation to improve balance, gait and pain.

  19. Re-Industrialisation and Low-Carbon Economy—Can They Go Together? Results from Stakeholder-Based Scenarios for Energy-Intensive Industries in the German State of North Rhine Westphalia

    Directory of Open Access Journals (Sweden)

    Stefan Lechtenböhmer

    2015-10-01

    Full Text Available The German federal state of North Rhine-Westphalia (NRW is home to one of the most important industrial regions in Europe, and is the first German state to have adopted its own Climate Protection Law (CPL. This paper describes the long-term (up to 2050 mitigation scenarios for NRW’s main energy-intensive industrial sub-sectors which served to support the implementation of the CPL. It also describes the process of scenario development, as these scenarios were developed through stakeholder participation. The scenarios considered three different pathways (best-available technologies, break-through technologies, and CO2 capture and storage. All pathways had optimistic assumptions on the rate of industrial growth and availability of low-carbon electricity. We find that a policy of “re-industrialisation” for NRW based on the current industrial structures (assumed here to represent an average growth of NRWs industrial gross value added (GVA of 1.6% per year until 2030 and 0.6% per year from 2030 to 2050, would pose a significant challenge for the achievement of overall energy demand and German greenhouse gas (GHG emission targets, in particular as remaining efficiency potentials in NRW are limited. In the best-available technology (BAT scenario CO2 emission reductions of only 16% are achieved, whereas the low carbon (LC and the carbon capture and storage (CCS scenario achieve 50% and 79% reduction respectively. Our results indicate the importance of successful development and implementation of a decarbonised electricity supply and breakthrough technologies in industry—such as electrification, hydrogen-based processes for steel, alternative cements or CCS—if significant growth is to be achieved in combination with climate mitigation. They, however, also show that technological solutions alone, together with unmitigated growth in consumption of material goods, could be insufficient to meet GHG reduction targets in industry.

  20. The current state of physical activity and exercise programs in German-speaking, Swiss psychiatric hospitals: results from a brief online survey.

    Science.gov (United States)

    Brand, Serge; Colledge, Flora; Beeler, Nadja; Pühse, Uwe; Kalak, Nadeem; Sadeghi Bahmani, Dena; Mikoteit, Thorsten; Holsboer-Trachsler, Edith; Gerber, Markus

    2016-01-01

    Physical activity and exercise programs (PAEPs) are an important factor in increasing and maintaining physical and mental health. This holds particularly true for patients with psychiatric disorders undergoing treatment in a psychiatric hospital. To understand whether the benefits reported in the literature are mirrored in current treatment modalities, the aim of the present study was to assess the current state of PAEPs in psychiatric hospitals in the German-speaking part of Switzerland. All psychiatric hospitals (N=55) in the German-speaking part of Switzerland were contacted in spring 2014. Staff responsible for PAEPs were asked to complete an online questionnaire covering questions related to PAEPs such as type, frequency, staff training, treatment rationale, importance of PAEPs within the treatment strategy, and possible avenues to increase PAEPs. Staff members of 48 different psychiatric hospitals completed the survey. Hospitals provided the following therapeutic treatments: relaxation techniques (100%), sports therapy (97%), activity-related psychotherapeutic interventions (95%), physiotherapy (85%), body therapies (59%), far-east techniques (57%), and hippotherapy (22%). Frequencies ranged from once/week to five times/week. Approximately 25% of patients participated in the PAEPs. Interventions were offered irrespective of psychiatric disorders. PAEP providers wanted and needed more vocational training. All participating psychiatric hospitals offer a broad variety of PAEPs in their treatment curricula. However, the majority of inpatients do not participate in PAEPs. Furthermore, those who do participate cannot continue to do so following discharge. PAEP providers need specific extended vocational trainings and believe that the potential of PA should be improved.

  1. Effects of an intensive weight loss program on knee joint loading in obese adults with knee osteoarthritis

    DEFF Research Database (Denmark)

    Aaboe, J; Bliddal, H; Messier, S P

    2011-01-01

    To determine the effect of an intensive weight loss program on knee joint loads during walking in obese patients with knee osteoarthritis (OA).......To determine the effect of an intensive weight loss program on knee joint loads during walking in obese patients with knee osteoarthritis (OA)....

  2. A Randomized Trial of an Intensive Physical Therapy Program for Patients with Acute Respiratory Failure.

    Science.gov (United States)

    Moss, Marc; Nordon-Craft, Amy; Malone, Dan; Van Pelt, David; Frankel, Stephen K; Warner, Mary Laird; Kriekels, Wendy; McNulty, Monica; Fairclough, Diane L; Schenkman, Margaret

    2016-05-15

    Early physical therapy (PT) interventions may benefit patients with acute respiratory failure by preventing or attenuating neuromuscular weakness. However, the optimal dosage of these interventions is currently unknown. To determine whether an intensive PT program significantly improves long-term physical functional performance compared with a standard-of-care PT program. Patients who required mechanical ventilation for at least 4 days were eligible. Enrolled patients were randomized to receive PT for up to 4 weeks delivered in an intensive or standard-of-care manner. Physical functional performance was assessed at 1, 3, and 6 months in survivors who were not currently in an acute or long-term care facility. The primary outcome was the Continuous Scale Physical Functional Performance Test short form (CS-PFP-10) score at 1 month. A total of 120 patients were enrolled from five hospitals. Patients in the intensive PT group received 12.4 ± 6.5 sessions for a total of 408 ± 261 minutes compared with only 6.1 ± 3.8 sessions for 86 ± 63 minutes in the standard-of-care group (P Physical function assessments were available for 86% of patients at 1 month, for 76% at 3 months, and for 60% at 6 months. In both groups, physical function was reduced yet significantly improved over time between 1, 3, and 6 months. When we compared the two interventions, we found no differences in the total CS-PFP-10 scores at all three time points (P = 0.73, 0.29, and 0.43, respectively) or in the total CS-PFP-10 score trajectory (P = 0.71). An intensive PT program did not improve long-term physical functional performance compared with a standard-of-care program. Clinical trial registered with www.clinicaltrials.gov (NCT01058421).

  3. A One-Week Intensive Treatment Program for Pediatric Obsessive-Compulsive Disorder

    OpenAIRE

    Canavera, Kristin

    2012-01-01

    The need for effective treatments and treatment accessibility for obsessive-compulsive disorder (OCD) in childhood is evident given that as many as 50% of individuals with OCD report symptom onset before age 15. Despite the growing evidence supporting the efficacy of Exposure and Response Prevention (ERP) for youth with OCD, children seeking services for their OCD symptoms often do not receive ERP. Intensive treatment programs may be a feasible treatment option for children and their families...

  4. Design and Programming for Cable-Driven Parallel Robots in the German Pavilion at the EXPO 2015

    Directory of Open Access Journals (Sweden)

    Philipp Tempel

    2015-08-01

    Full Text Available In the German Pavilion at the EXPO 2015, two large cable-driven parallel robots are flying over the heads of the visitors representing two bees flying over Germany and displaying everyday life in Germany. Each robot consists of a mobile platform and eight cables suspended by winches and follows a desired trajectory, which needs to be computed in advance taking technical limitations, safety considerations and visual aspects into account. In this paper, a path planning software is presented, which includes the design process from developing a robot design and workspace estimation via planning complex trajectories considering technical limitations through to exporting a complete show. For a test trajectory, simulation results are given, which display the relevant trajectories and cable force distributions.

  5. Investigating the Efficacy of an Intensive English Program and the L2 Learners’ Learning Styles

    Directory of Open Access Journals (Sweden)

    Rebecca Lee Su Ping

    2014-12-01

    Full Text Available Past research has found that many pre-university L2 learners, having completed an Intensive English Program (IEP still have difficulty in undertaking various disciplines in English-speaking tertiary institutions and continue to exhibit numerous linguistic problems (Bialystok, 2001, Celce Murcia 2001. The purpose of this paper is to present the findings on the investigation of L2 learners’ English proficiency in reading, writing, grammar, listening and speaking upon their completion of an Intensive English (IE program using their IELTS (Academic, in-house exams and English Placement Tests (EPT scores, and the efficacy of IE program.  IELTS test is chosen for this study due to its increasing popularity in Malaysia and its internationally recognised value and quality.  The study was conducted in two parts. In Part One, all 72 Level 4 IE students were given an in-house EPT (English Placement Test pre-test on their entry and another EPT post-test on their exit, and then their pre-test and post-test results were compared.  In Part Two, 22 volunteers sat the IELTS test at the end of the program. The IELTS results of the 22 volunteers were compared with those who did not.  Data were analyzed using both quantitative and qualitative methods. This paper hopes to shed some light on (i whether or not L2 learners’ English language proficiency can be significantly enhanced and influenced by an intensive English program and (ii how leaners’ perception of their own learning strategies influence their learning progress.

  6. Benefits and costs of intensive lifestyle modification programs for symptomatic coronary disease in Medicare beneficiaries.

    Science.gov (United States)

    Zeng, Wu; Stason, William B; Fournier, Stephen; Razavi, Moaven; Ritter, Grant; Strickler, Gail K; Bhalotra, Sarita M; Shepard, Donald S

    2013-05-01

    This study reports outcomes of a Medicare-sponsored demonstration of two intensive lifestyle modification programs (LMPs) in patients with symptomatic coronary heart disease: the Cardiac Wellness Program of the Benson-Henry Mind Body Institute (MBMI) and the Dr Dean Ornish Program for Reversing Heart Disease® (Ornish). This multisite demonstration, conducted between 2000 and 2008, enrolled Medicare beneficiaries who had had an acute myocardial infarction or a cardiac procedure within the preceding 12 months or had stable angina pectoris. Health and economic outcomes are compared with matched controls who had received either traditional or no cardiac rehabilitation following similar cardiac events. Each program included a 1-year active intervention of exercise, diet, small-group support, and stress reduction. Medicare claims were used to examine 3-year outcomes. The analysis includes 461 elderly, fee-for-service, Medicare participants and 1,795 controls. Cardiac and non-cardiac hospitalization rates were lower in participants than controls in each program and were statistically significant in MBMI (P < .01). Program costs of $3,801 and $4,441 per participant for the MBMI and Ornish Programs, respectively, were offset by reduced health care costs yielding non-significant three-year net savings per participant of about $3,500 in MBMI and $1,000 in Ornish. A trend towards lower mortality compared with controls was observed in MBMI participants (P = .07). Intensive, year-long LMPs reduced hospitalization rates and suggest reduced Medicare costs in elderly beneficiaries with symptomatic coronary heart disease. Copyright © 2013 Mosby, Inc. All rights reserved.

  7. THE EFFECTS OF REFLECTIVE TEACHING ON AN INTENSIVE TEACHER TRAINING PROGRAM

    Directory of Open Access Journals (Sweden)

    Mei Hua Lan

    2013-07-01

    Full Text Available Abstract: The preliminary case study was conducted to understand the effects of reflective teaching approach on English teachers' teaching performances in a short-term intensive teacher training program, and to know the participating English teachers’ feedback to the program. Totally 13 English teachers, who had taught English for 1 to 5 years, participated in this program for 3 weeks with 54 instruction hours. During the intensive program, teachers were asked to design lesson plans and demonstrate their lessons, while their peers, other experienced teachers, provided them with constructive feedback. In addition, the presenters self-assessed and reflected on their own teaching. Through several cycles of teaching demonstrations, peer-assessments, self-assessments and reflections, most teachers indicated that the reflective teaching approach was beneficial for sharpening their teaching skills, equipping them with additional teaching strategies and class management skills, and raising their awareness of the needs for examinations of their teaching reflectively in the future, and the importance of reflection of their own teaching for improvements. To give the teachers more inputs and inspirations, experienced teachers with creative teaching ideas were invited as guest speakers, and positive feedback to the guest speeches was also drawn. The findings of this study were expected to provide some pedagogical inspirations for the related fields, especially English teacher training in EFL contexts.

  8. Effectiveness of hand-washing teaching programs for families of children in paediatric intensive care units.

    Science.gov (United States)

    Chen, Yong-Chuan; Chiang, Li-Chi

    2007-06-01

    The authors developed a video-centred teaching program based on social learning principles to demonstrate hand-washing technique. A comparison was made between families who viewed the video and families who were taught the same techniques with the aid of an illustrated poster in terms of compliance and improvement in hand-washing skills. Nosocomial infections are a significant cause of morbidity and mortality in paediatric intensive care unit patients. Hand hygiene is considered the most important preventive action against hospital-acquired infections. A number of studies have shown that increased compliance with hand-washing guidelines for health-care workers leads to decreases in nosocomial infection rates. Furthermore, recommendations have been made to ensure that parents who visit their children in intensive care units wash their hands first. Quasi-experimental time series. Compliance and accuracy measurements were collected during one to five visits following the initial teaching intervention. A total of 123 families, who visited paediatric intensive care units, were recruited and assigned to two groups - one experimental (61 families) and the other a comparison group (62). Participants in the comparison group were taught hand-washing skills using simple illustrations. A 20-item hand-washing checklist was used to examine hand-washing compliance and accuracy. No significant differences were noted in terms of demographics between the two groups. Results from a general estimated equation analysis showed that families in the experimental group had higher compliance and accuracy scores at statistically significant levels. The video-based teaching program was effective in increasing compliance and accuracy with a hand-washing policy among families with children in intensive care units. The education program is a simple, low-cost, low technology intervention for substantially reducing the incidence of nosocomial infection.

  9. Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned

    Directory of Open Access Journals (Sweden)

    Cherry AS

    2016-02-01

    Full Text Available Amanda S Cherry,1 Ryan T Blucker,1 Timothy S Thornberry,2 Carla Hetherington,3 Mary Anne McCaffree,3 Stephen R Gillaspy1 1Department of Pediatrics, Section of General and Community Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 2Department of Psychology, Morehead State University, Morehead, KY, 3Department of Pediatrics, College of Medicine, University of Oklahoma, Oklahoma City, OK, USA Objective: The aims of this project were to describe the development of a postpartum depression screening program for mothers of infants in the Neonatal Intensive Care Unit and assess the implementation of the screening program. Methods: Screening began at 14 days postpartum and was implemented as part of routine medical care. A nurse coordinator facilitated communication with mothers for increasing screen completion, review of critical self-harm items, and making mental health referrals. During the 18-month study period, 385 out of 793 eligible mothers completed the screen. Results: Approximately 36% of mothers had a positive screen that resulted in a mental health referral and an additional 30% of mothers had screening results indicating significant symptoms. Conclusion: Several barriers were identified, leading to adjustments in the screening process, and ultimately recommendations for future screening programs and research. Development of a postpartum depression screening process in the Neonatal Intensive Care Unit involves support, training, implementation, and coordination from administrators, medical staff, new mothers, and mental health specialists. Several predictable challenges to program development require ongoing assessment and response to these challenges. Relevance: This study highlights the expanding role of the psychologist and behavioral health providers in health care to intervene as early as possible in the life of a child and family with medical complications through multidisciplinary program development and

  10. Would German physicians opt for pay-for-performance programs? A willingness-to-accept experiment in a large general practitioners' sample.

    Science.gov (United States)

    Krauth, Christian; Liersch, Sebastian; Jensen, Sören; Amelung, Volker Eric

    2016-02-01

    Implementing pay-for-performance (P4P) programs is a non-trivial task. As evaluation studies showed, P4P programs often failed to improve performance quality. A crucial element for the successful implementation of P4P is to gain acceptance with health care providers. The aim of our study was to determine, if (and at what bonus rate) German general practitioners (GPs) would participate in a P4P program. We further examined differences between respondents who would participate in a P4P program (participants) versus respondents who would not participate (non-participants). A mail survey was conducted among 2493 general practitioners (GPs) in Lower Saxony (with a response rate of 36.2%). The questionnaire addressed attitudes toward P4P and included a willingness to accept experiment concerning P4P implementation. The participation rate increased from 28% (at a bonus of 2.5%) to 50% (at a bonus of 20%). Participants showed better performance in target achievement and expected higher gains from P4P than non-participants. Major attitude differences were found in assessing feasibility of P4P, incentivizing performance and unintended consequences. The crucial factor for (not) accepting P4P might be the sense of (un)fairness of P4P. To convince GPs to participate in P4P, better evidence for the effectiveness of P4P is required. To address the concerns of GPs, future endeavors should be directed to tailoring P4P programs. Finally, program implementation must be well communicated and thoroughly discussed with health care providers. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Outcomes and Utilization of a Low Intensity Workplace Weight Loss Program

    Directory of Open Access Journals (Sweden)

    Kelly M. Carpenter

    2014-01-01

    Full Text Available Obesity is related to high health care costs and lost productivity in the workplace. Employers are increasingly sponsoring weight loss and wellness programs to ameliorate these costs. We evaluated weight loss outcomes, treatment utilization, and health behavior change in a low intensity phone- and web-based, employer-sponsored weight loss program. The intervention included three proactive counseling phone calls with a registered dietician and a behavioral health coach as well as a comprehensive website. At six months, one third of those who responded to the follow-up survey had lost a clinically significant amount of weight (≥5% of body weight. Clinically significant weight loss was predicted by the use of both the counseling calls and the website. When examining specific features of the web site, the weight tracking tool was the most predictive of weight loss. Health behavior changes such as eating more fruits and vegetables, increasing physical activity, and reducing stress were all predictive of clinically significant weight loss. Although limited by the low follow-up rate, this evaluation suggests that even low intensity weight loss programs can lead to clinical weight loss for a significant number of participants.

  12. The Effect of a Classroom-Based Intensive Robotics and Programming Workshop on Sequencing Ability in Early Childhood

    Science.gov (United States)

    Kazakoff, Elizabeth R.; Sullivan, Amanda; Bers, Marina U.

    2013-01-01

    This paper examines the impact of programming robots on sequencing ability during a 1-week intensive robotics workshop at an early childhood STEM magnet school in the Harlem area of New York City. Children participated in computer programming activities using a developmentally appropriate tangible programming language CHERP, specifically designed…

  13. The current state of physical activity and exercise programs in German-speaking, Swiss psychiatric hospitals: results from a brief online survey

    Directory of Open Access Journals (Sweden)

    Br

    2016-06-01

    Full Text Available Serge Brand,1,2 Flora Colledge,2 Nadja Beeler,2 Uwe Pühse,2 Nadeem Kalak,1 Dena Sadeghi Bahmani,1 Thorsten Mikoteit,1 Edith Holsboer-Trachsler,1 Markus Gerber2 1Psychiatric Clinics of the University of Basel, Center for Affective, Stress and Sleep Disorders, 2Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel, Switzerland Background: Physical activity and exercise programs (PAEPs are an important factor in increasing and maintaining physical and mental health. This holds particularly true for patients with psychiatric disorders undergoing treatment in a psychiatric hospital. To understand whether the benefits reported in the literature are mirrored in current treatment modalities, the aim of the present study was to assess the current state of PAEPs in psychiatric hospitals in the German-speaking part of Switzerland. Methods: All psychiatric hospitals (N=55 in the German-speaking part of Switzerland were contacted in spring 2014. Staff responsible for PAEPs were asked to complete an online questionnaire covering questions related to PAEPs such as type, frequency, staff training, treatment rationale, importance of PAEPs within the treatment strategy, and possible avenues to increase PAEPs. Results: Staff members of 48 different psychiatric hospitals completed the survey. Hospitals provided the following therapeutic treatments: relaxation techniques (100%, sports therapy (97%, activity-related psychotherapeutic interventions (95%, physiotherapy (85%, body therapies (59%, far-east techniques (57%, and hippotherapy (22%. Frequencies ranged from once/week to five times/week. Approximately 25% of patients participated in the PAEPs. Interventions were offered irrespective of psychiatric disorders. PAEP providers wanted and needed more vocational training. Conclusion: All participating psychiatric hospitals offer a broad variety of PAEPs in their treatment curricula. However, the majority of inpatients do not

  14. A new version of a computer program for dynamical calculations of RHEED intensity oscillations

    Science.gov (United States)

    Daniluk, Andrzej; Skrobas, Kazimierz

    2006-01-01

    We present a new version of the RHEED program which contains a graphical user interface enabling the use of the program in the graphical environment. The presented program also contains a graphical component which enables displaying program data at run-time through an easy-to-use graphical interface. New version program summaryTitle of program: RHEEDGr Catalogue identifier: ADWV Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADWV Program obtainable from: CPC Program Library, Queen's University of Belfast, N. Ireland Catalogue identifier of previous version: ADUY Authors of the original program: A. Daniluk Does the new version supersede the original program: no Computer for which the new version is designed and others on which it has been tested: Pentium-based PC Operating systems or monitors under which the new version has been tested: Windows 9x, XP, NT Programming language used: Borland C++ Builder Memory required to execute with typical data: more than 1 MB Number of bits in a word: 64 bits Number of processors used: 1 Number of lines in distributed program, including test data, etc.: 5797 Number of bytes in distributed program, including test data, etc.: 588 121 Distribution format: tar.gz Nature of physical problem: Reflection high-energy electron diffraction (RHEED) is a very useful technique for studying growth and surface analysis of thin epitaxial structures prepared by the molecular beam epitaxy (MBE). The RHEED technique can reveal, almost instantaneously, changes either in the coverage of the sample surface by adsorbates or in the surface structure of a thin film. Method of solution: RHEED intensities are calculated within the framework of the general matrix formulation of Peng and Whelan [1] under the one-beam condition. Reasons for the new version: Responding to the user feedback we designed a graphical package that enables displaying program data at run-time through an easy-to-use graphical interface. Summary of revisions:In the present form

  15. The Role of German in Japan.

    Science.gov (United States)

    Sang, Juergen

    This historical overview of German studies in Japan, dating from the birth of modern Japan in the 1870's to the present time, includes commentary on the nature and scope of existing language programs. The importance of German idealism--reflected in the philosophy of Kant, Hegel, Schopenhauer, Nietzsche, and Marx--on Japanese culture is noted.…

  16. The Benefits of High-Intensity Functional Training Fitness Programs for Military Personnel.

    Science.gov (United States)

    Haddock, Christopher K; Poston, Walker S C; Heinrich, Katie M; Jahnke, Sara A; Jitnarin, Nattinee

    2016-11-01

    High intensity functional training (HIFT) programs are designed to address multiple fitness domains, potentially providing improved physical and mental readiness in a changing operational environment. Programs consistent with HIFT principals such as CrossFit, SEALFIT and the US Marine Corps' High Intensity Tactical Training (HITT) are increasingly popular among military personnel. The goal of HIFT programs is to produce high levels of cardiorespiratory fitness, endurance and strength that exceed those achieved by following current physical activity recommendations. Given the investment in and popularity of HIFT in the military, it is important to consider the potential impact of this approach to fitness training for the health of military personnel and their risk of training injury. In a previous report in this journal, we addressed the question of whether HIFT was associated with higher injury rates compared to other exercise programs. We argued that concerns about the injury potential of HIFT exercise programs were not supported by the scientific literature to date, although additional research was needed to directly compare injury rates in approaches such as CrossFit to traditional military fitness programs. In this article we will review the scientific data on the practical, health and fitness benefits of HIFT exercise programs for military populations. Practical benefits to HIFT exercise programs include shorter training times and volumes, exercises which simulate combat tasks, lower equipment costs, reduced potential for boredom and adaptation as a result of constant variation, less injury potential compared to high volume endurance training, and scalability to all fitness levels and rehabilitation needs. For instance, HIFT training volumes are typically between 25% to nearly 80% less than traditional military fitness programs without reductions in fitness outcomes. HIFT program also provide an impressive range of health benefits such as the promotion of

  17. Combination treatment with etanercept and an intensive spa rehabilitation program in active ankylosing spondylitis.

    Science.gov (United States)

    Colina, M; Ciancio, G; Garavini, R; Conti, M; Trotta, F; Govoni, M

    2009-01-01

    The aim of this study is to determine the effects of a combination treatment with etanercept and spa rehabilitation versus etanercept alone on function, disability and quality of life in a group of patients with active ankylosing spondylitis (AS). Sixty patients with AS underwent etanercept as suggested by ASAS/EULAR recommendations. As the clinical and laboratory conditions improved, 30 patients accepted the proposal of coupling the medical therapy with a 7-day rehabilitation program in a thermal baths centre; the remaining 30 subjects continued to take the biologic agent alone. The comparisons between the 2 groups were made after 3 and 6 months. The primary outcome was an improvement in BASFI. The secondary outcome was an improvement in the visual analogic scale of EuroQol (EQ-5Dvas). After 6 months a statistically significant improvement in BASFI (p intensive rehabilitation program contributes to disability reduction and ameliorates quality of life for AS patients.

  18. [First results of a German second opinion program show high patient satisfaction and large discrepancies between initial therapy recommendations and second opinion].

    Science.gov (United States)

    Weyerstraß, Jan; Prediger, Barbara; Neugebauer, Edmund; Pieper, Dawid

    2018-02-23

    Although legally anchored, there are no empirical results from German second opinion programs. In this study, various aspects within a population of a second opinion program are examined. In this study patients were analyzed who sought a second opinion in the period from August 2011 to December 2016. Differences in patient characteristics, differentiated by agreement of first and second opinion, were analyzed using multivariate logistic regression. Patients' satisfaction and quality of life were examined one, three and six months after obtaining the second opinion. In total, 1,414 patients sought a second opinion. Most frequent medical indications were the knee (38.7 %), the back (26.8 %), the hip (11.7 %), and the shoulder (10.2 %). Except for the indication (p=0.035), no patient characteristic had influence on the conformation of the second opinion. Approximately two out of three initial recommendations were not confirmed by the specialists. 89 % of the patients were satisfied or very satisfied with the second opinion and the service offered. The second opinion offers patients the opportunity to seek an additional independent medical opinion and thus provide support for decision making. Further research is needed to examine the reasons for the high discrepancies between the first and second opinions. Copyright © 2018. Published by Elsevier GmbH.

  19. Integrating medical management with diabetes self-management training: a randomized control trial of the Diabetes Outpatient Intensive Treatment program

    National Research Council Canada - National Science Library

    Polonsky, William H; Earles, Jay; Smith, Susan; Pease, Donna J; Macmillan, Mary; Christensen, Reed; Taylor, Thomas; Dickert, Judy; Jackson, Richard A

    2003-01-01

    This study evaluated the Diabetes Outpatient Intensive Treatment (DOIT) program, a multiday group education and skills training experience combined with daily medical management, followed by case management over 6 months...

  20. Impact of an intensive dynamic exercise program on oxidative stress and on the outcome in patients with fibromyalgia

    Directory of Open Access Journals (Sweden)

    Amal F Soliman

    2016-01-01

    Conclusion Twelve weeks of intensive dynamic exercise program should be recommended to patients with FM as it was effective in decreasing the oxidative stress parameters, increasing the antioxidant parameters, and improving the clinical outcome of this disease.

  1. Effects of stress management program on the quality of nursing care and intensive care unit nurses.

    Science.gov (United States)

    Pahlavanzadeh, Saied; Asgari, Zohreh; Alimohammadi, Nasrollah

    2016-01-01

    High level of stress in intensive care unit nurses affects the quality of their nursing care. Therefore, this study aimed to determine the effects of a stress management program on the quality of nursing care of intensive care unit nurses. This study is a randomized clinical trial that was conducted on 65 nurses. The samples were selected by stratified sampling of the nurses working in intensive care units 1, 2, 3 in Al-Zahra Hospital in Isfahan, Iran and were randomly assigned to two groups. The intervention group underwent an intervention, including 10 sessions of stress management that was held twice a week. In the control group, placebo sessions were held simultaneously. Data were gathered by demographic checklist and Quality Patient Care Scale before, immediately after, and 1 month after the intervention in both groups. Then, the data were analyzed by Student's t-test, Mann-Whitney, Chi-square, Fisher's exact test, and analysis of variance (ANOVA) through SPSS software version 18. Mean scores of overall and dimensions of quality of care in the intervention group were significantly higher immediately after and 1 month after the intervention, compared to pre-intervention (P quality of care in the intervention group was significantly higher immediately after and 1 month after the intervention, compared to the control group (P quality of care, the staffs are recommended to consider it in improvement of the quality of nursing care.

  2. Clinical Trial of an Educational Program to Decrease Monitor Alarms in a Medical Intensive Care Unit.

    Science.gov (United States)

    Brantley, Arian; Collins-Brown, Sandra; Kirkland, Jasmine; Knapp, Meghan; Pressley, Jackie; Higgins, Melinda; McMurtry, James P

    2016-07-01

    Clinical research to identify effective interventions for decreasing nonactionable alarms has been limited. The objective of this study was to determine if a staff educational program on customizing alarm settings on bedside monitors decreased alarms in a medical intensive care unit (MICU). A preintervention, postintervention, nonequivalent group design was used to evaluate an educational program on alarm management in a convenience sample of MICU nurses. A 15-minute session was provided in a 1-week period. The outcome variable (number of alarms for low oxygen saturation via pulse oximetry [SpO2]) was determined from monitor log files adjusted by patient census. Data were collected for 15 days before and after the intervention. χ2 analysis was used, with P less than .05 considered significant. After 1 week of education, low SpO2 alarms decreased from 502 to 306 alarms per patient monitored per day, a 39% reduction (P < .001). Instructions for nurses in the medical intensive care unit on individualizing alarm settings to patients' clinical condition decreased common monitor alarms by 39%. ©2016 American Association of Critical-Care Nurses.

  3. Just say no to intensive care unit starvation: a nutrition education program for surgery residents.

    Science.gov (United States)

    Spear, Shawn; Sim, Vasiliy; Moore, Frederick A; Todd, S Rob

    2013-06-01

    In 2009, the Society of Critical Care Medicine (SCCM)/American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) published "Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient." To improve our surgery residents' understanding of intensive care unit (ICU) nutrition, we developed a nutrition education program based on these guidelines. The purpose of this pilot study was to assess its effectiveness. We hypothesized that our nutrition education program would improve our residents' knowledge of ICU nutrition. This was a prospective observational pilot study performed in the surgical ICU of an academic medical center. Based on the SCCM/A.S.P.E.N. nutrition guidelines, we developed a nutrition education program (lectures covering selected guidelines and interactive case studies). Pre- and posttesting were performed to assess short-term comprehension. Long-term retention was assessed 3 months after the initial education program. The primary outcome measure was the change in ICU nutrition knowledge. Significance was set at P nutrition education program. Their mean age was 27.8 ± 1.2 years, and 50% were male. The mean test scores were as follows: pretest, 45% ± 9%; posttest, 81% ± 5%; and 3-month test, 65% ± 8%. The differences between the pretest and both posttest scores were significant (P nutrition. This is confirmed by the pretest results of the current study. Our nutrition education program improved both short-term and long-term ICU nutrition knowledge of our surgery residents. Future studies should evaluate the effect such education has on the clinical outcomes of ICU patients.

  4. The German energy audit program for firms-a cost-effective way to improve energy efficiency?

    NARCIS (Netherlands)

    Fleiter, Tobias; Gruber, Edelgard; Eichhammer, Wolfgang|info:eu-repo/dai/nl/412493780; Worrell, Ernst|info:eu-repo/dai/nl/106856715

    2012-01-01

    In 2008, a program was established in Germany to provide grants for energy audits in small- and medium-sized enterprises. It aims to overcome barriers to energy efficiency, like the lack of information or a lack of capacity, and is intended to increase the adoption of energy efficiency measures. We

  5. Talent development in European higher education : Honors programs in the Benelux, Nordic and German-speaking countries

    NARCIS (Netherlands)

    Dr. Marca Wolfensberger

    2015-01-01

    This book examines the much-debated question of how to unleash the potential of young people with promising intellectual abilities and motivation. It looks at the increasingly important topic of excellence in education, and the shift in focus towards the provision of programs to support talented

  6. Possibilities of using the German Federal States' permanent soil monitoring program for the monitoring of potential effects of genetically modified organisms (GMO).

    Science.gov (United States)

    Toschki, Andreas; Jänsch, Stephan; Roß-Nickoll, Martina; Römbke, Jörg; Züghart, Wiebke

    2015-01-01

    In the Directive 2001/18/EC on the deliberate release of genetically modified organisms (GMO) into the environment, a monitoring of potential risks is prescribed after their deliberate release or placing on the market. Experience and data of already existing monitoring networks should be included. The present paper summarizes the major findings of a project funded by the Federal Agency for Nature Conservation (Nutzungsmöglichkeiten der Boden-Dauerbeobachtung der Länder für das Monitoring der Umweltwirkungen gentechnisch veränderter Pflanzen. BfN Skripten, Bonn-Bad Godesberg 369, 2014). The full report in german language can be accessed on http://www.bfn.de and is available as Additional file 1. The aim of the project was to check if it is possible to use the German permanent soil monitoring program (PSM) for the monitoring of GMO. Soil organism communities are highly diverse and relevant with respect to the sustainability of soil functions. They are exposed to GMO material directly by feeding or indirectly through food chain interactions. Other impacts are possible due to their close association to soil particles. The PSM program can be considered as representative with regard to different soil types and ecoregions in Germany, but not for all habitat types relevant for soil organisms. Nevertheless, it is suitable as a basic grid for monitoring the potential effects of GMO on soil invertebrates. PSM sites should be used to derive reference values, i.e. range of abundance and presence of different relevant species of soil organisms. Based on these references, it is possible to derive threshold values to define the limit of acceptable change or impact. Therefore, a minimum set of sites and minimum set of standardized methods are needed, i.e. characterization of each site, sampling of selected soil organism groups, adequate adaptation of methods for the purpose of monitoring of potential effects of GMO. Finally, and probably most demanding, it is needed to develop

  7. Detection and plant monitoring programs: lessons from an intensive survey of Asclepias meadii with five observers.

    Directory of Open Access Journals (Sweden)

    Helen M Alexander

    Full Text Available Monitoring programs, where numbers of individuals are followed through time, are central to conservation. Although incomplete detection is expected with wildlife surveys, this topic is rarely considered with plants. However, if plants are missed in surveys, raw count data can lead to biased estimates of population abundance and vital rates. To illustrate, we had five independent observers survey patches of the rare plant Asclepias meadii at two prairie sites. We analyzed data with two mark-recapture approaches. Using the program CAPTURE, the estimated number of patches equaled the detected number for a burned site, but exceeded detected numbers by 28% for an unburned site. Analyses of detected patches using Huggins models revealed important effects of observer, patch state (flowering/nonflowering, and patch size (number of stems on probabilities of detection. Although some results were expected (i.e. greater detection of flowering than nonflowering patches, the importance of our approach is the ability to quantify the magnitude of detection problems. We also evaluated the degree to which increased observer numbers improved detection: smaller groups (3-4 observers generally found 90 - 99% of the patches found by all five people, but pairs of observers or single observers had high error and detection depended on which individuals were involved. We conclude that an intensive study at the start of a long-term monitoring study provides essential information about probabilities of detection and what factors cause plants to be missed. This information can guide development of monitoring programs.

  8. An open trial of an intensive summer day treatment program for severely overweight adolescents.

    Science.gov (United States)

    Kotler, L A; Etu, S Fischer; Davies, M; Devlin, M J; Attia, E; Walsh, B T

    2006-12-01

    This open trial examined the feasibility and usefulness of treating adolescents with a body mass index (BMI) > or =95th percentile in a 6-week day treatment program within a psychiatric outpatient setting. Sixteen adolescents, ages 12-15, attended a 6-week multidisciplinary summer day treatment program. Outcome measures include pre- and post-program assessments of BMI, body fat, laboratory measures, nutritional status, physical activity, mood and eating disorder symptoms, motivation, self-esteem and quality of life. BMI, waist/hip circumferences, blood pressure, heart rate, and body fat did not change significantly from baseline to week 6. Fasting glucose decreased significantly from baseline to week 6, but there were no significant changes in other laboratory measures. The teen-rated feelings subscale of the Peds Quality of Life Scale improved. Self-esteem, as measured by the Rosenberg Self- Esteem Scale, indicated a strong trend towards improvement, and motivation measures also showed a trend for improvement. These findings suggest that a brief, intensive intervention for overweight adolescents may yield meaningful changes in quality of life, self-esteem, and motivation, even in the absence of significant weight loss.

  9. A QUALITATIVE METHODOLOGY FOR THEORY ELUCIDATION, EXPLICATION, AND DEVELOPMENT APPLIED WITHIN AN INTENSIVE GROUP PSYCHOTHERAPY PROGRAM

    Directory of Open Access Journals (Sweden)

    Jaime Williams

    2012-04-01

    Full Text Available Mental health day treatment (MHDT programs provide intensive group psychotherapy for patients with psychiatric pathology complicated by personality disorder. Recently, researchers have begun to examine specific components of these programs. Of importance is the theoretical rationale, which may be challenging to understand given the complexity of the treatment. The purpose of this project was to investigate the theory of one MHDT program. Community-based participatory research was chosen and accordingly, all stages of the project were collaborative with the MHDT clinical team. We engaged in a six-month, iterative process of weekly action-reflection cycles wherein material was discussed, analyzed for themes, and the findings presented back to the team to further the conversation. Results summarize this program’s Theories of Dysfunction and Therapeutic Change, which were primarily psychodynamic, but also integrative through assimilation of elements from other paradigms. Usefulness of the research process is discussed and recommendations are provided for others wishing to undergo a similar process.

  10. Description of an intensive residential aphasia treatment program: rationale, clinical processes, and outcomes.

    Science.gov (United States)

    Winans-Mitrik, Ronda L; Hula, William D; Dickey, Michael W; Schumacher, James G; Swoyer, Brooke; Doyle, Patrick J

    2014-05-01

    The purpose of this article is to describe the rationale, clinical processes, and outcomes of an intensive comprehensive aphasia program (ICAP). Seventy-three community-dwelling adults with aphasia completed a residentially based ICAP. Participants received 5 hr of daily 1:1 evidence-based cognitive-linguistically oriented aphasia therapy, supplemented with weekly socially oriented and therapeutic group activities over a 23-day treatment course. Standardized measures of aphasia severity and communicative functioning were obtained at baseline, program entry, program exit, and follow-up. Results were analyzed using a Bayesian latent growth curve model with 2 factors representing (a) the initial level and (b) change over time, respectively, for each outcome measure. Model parameter estimates showed reliable improvement on all outcome measures between the initial and final assessments. Improvement during the treatment interval was greater than change observed across the baseline interval, and gains were maintained at follow-up on all measures. The rationale, clinical processes, and outcomes of a residentially based ICAP have been described. ICAPs differ with respect to treatments delivered, dosing parameters, and outcomes measured. Specifying the defining components of complex interventions, establishing their feasibility, and describing their outcomes are necessary to guide the development of controlled clinical trials.

  11. Feasibility and acceptability of a resilience training program for intensive care unit nurses.

    Science.gov (United States)

    Mealer, Meredith; Conrad, David; Evans, John; Jooste, Karen; Solyntjes, Janet; Rothbaum, Barbara; Moss, Marc

    2014-11-01

    The critical nursing shortage is particularly apparent in specialty areas such as intensive care units (ICUs). Some nurses develop resilient coping strategies and adapt to stressful work experiences, mitigating the development of common maladaptive psychological symptoms. To determine if a multimodal resilience training program for ICU nurses was feasible to perform and acceptable to the study participants. In a randomized and controlled 12-week intervention study, treatment and control groups completed demographic questions and measures of resilience, anxiety, depression, posttraumatic stress disorder (PTSD), and burnout syndrome before and after the intervention. The intervention included a 2-day educational workshop, written exposure sessions, event-triggered counseling sessions, mindfulness-based stress reduction exercises, and a protocolized aerobic exercise regimen. Nurses in the intervention arm also completed satisfaction surveys for each component of the intervention. This mulitmodal resilience training program was feasible to conduct and acceptable to ICU nurses. Both nurses randomized to the treatment group and nurses randomized to the control group showed a significant decrease in PTSD symptom score after the intervention. A multifaceted resilience training program for ICU nurses was both feasible and acceptable. A sufficiently powered, randomized clinical trial is needed to assess the effect of the intervention on improving individuals' level of resilience and improving psychological outcomes such as symptoms of anxiety, depression, burnout syndrome, and PTSD. ©2014 American Association of Critical-Care Nurses.

  12. The Sidebar Computer Program, a seismic-shaking intensity meter: users' manual and software description

    Science.gov (United States)

    Evans, John R.

    2003-01-01

    The SideBar computer program provides a visual display of seismic shaking intensity as recorded at one specific seismograph. This software allows a user to tap into the seismic data recorded on that specific seismograph and to display the overall level of shaking at the single location where that seismograph resides (usually the same place the user is). From this shaking level, SideBar also estimates the potential for damage nearby. SideBar cannot tell you the “Richter magnitude” of the earthquake (see box), only how hard the ground shook locally and this estimate of how much damage is likely in the neighborhood. This combination of local effects is called the “seismic intensity”. SideBar runs on a standard desktop or laptop PC, and is intended for the media, schools, emergency responders, and any other group hosting a seismograph and who want to know immediately after an earthquake the levels of shaking measured by that instrument. These local values can be used to inform the public and help initiate appropriate local emergency response activities in the minutes between the earthquake and availability of the broader coverage provided by the USGS over the Web, notably by ShakeMap. For example, for instruments installed in schools, the level of shaking and likely damage at the school could immediately be Web broadcast and parents could quickly determine the likely safety of their children—their biggest postearthquake concern. Also, in the event of a Web outage, SideBar may be a continuing primary source of local emergency response information for some additional minutes. Specifically, SideBar interprets the peak level of acceleration (that is, the force of shaking, as a percentage of the force of gravity) as well as the peak velocity, or highest speed, at which the ground moves. Using these two basic measurements, SideBar computes what is called Instrumental Intensity—a close approximation of the Modified Mercalli Intensity scale, or “MMI” (using the

  13. The possible impact of the German DRGs reimbursement system on end-of-life decision making in a surgical intensive care unit.

    Science.gov (United States)

    Stachura, Peter; Oberender, Peter; Bundscherer, Anika C; Wiese, Christoph H R

    2015-02-01

    More than 70 % of critically ill patients die in intensive care units (ICUs) after treatment is reduced. End-of-life decision making in the ICU is a grey area that varies in practice, and there are potential economic consequences of over- and under-treatment. The aim of this study was to describe the end-of-life decisions of critically ill patients in a surgical ICU in Germany and to identify how financial incentives may influence decision making. Data on the admission diagnosis, end-of-life decision making and cause of death were obtained for 69 critically ill patients who died in the ICU (Hospital of Bayreuth, Germany) in 2009. A cost-revenue analysis was conducted on the 46 patients who did not die within 3 days of ICU admission. Because we lacked real data on costs, our analysis was based on the average cost for each diagnosis-related group (DRG) from the Institute for the Hospital Remuneration System (InEK). Hospital revenues based on the DRG were considered. Subsequently, we compared the estimated financial impact of earlier and later decisions to withdraw or withhold futile therapy. In this study, we found that end-of-life decision making was poorly documented. Only 11 % of patients had a valid power of attorney and advanced directives, and therapy with presumed consent was performed in 43 % of all cases. From long-stay patients, therapy was withdrawn for 37 % of patients and withheld from 26 % of patients, and 37 % of the patients died receiving maximal therapy. Almost 72 % of DRG-related reimbursements were dependent on ventilation hours. The average total cost estimate (according to InEK) for the 46 long-stay patients was 1,201,000 . The revenues without additional remuneration were 1,358,000 , and the total estimated profit was approximately 157,000 . Only 10 cases were assumed to be non-profitable. In cases where the decision to withdraw or withhold therapy could have occurred 3 days earlier, the estimated profit shrank to 72,000 (46

  14. Connected Enemies? Programming Transfer between East and West During the Cold War and the Example of East German Television

    Directory of Open Access Journals (Sweden)

    Thomas Beutelschmidt

    2014-06-01

    Full Text Available #piccshare_pic_options, #piccshare_pic_options > *, #piccshare_tint, #piccshare_logo { border-radius: 0; -moz-border-radius: 0; border: none; margin: 0; padding: 0; }This article examines GDR television from a media-historical perspective with special focus on the inter- and transnational communication between Eastern and Western Europe in the Cold War until the dissolution of the separate spheres of power in 1990. It focuses on the development and function of the “Organisation Internationale de diffusion et de Télévision Radio” (OIRT, which was founded in 1946, and their network “Intervision”, founded in 1960, both centred in Prague. The OIRT, as an umbrella organization, coordinated cooperation between the TV-stations in the socialist community and represented their interests to the “European Broadcasting Union” (UER/EBU and the “Eurovision” system. While “Intervision” handled the direct program traffic between the stations, exchange of movies and occasionally TV series was an autonomous field. A central conclusion is that the program transfer had a hand in a partial rapprochement and dialogue between East and West. In addition, these permanent relations triggered an early synchronization process with a tendency to cross-culture productions – even if the partial opening in Eastern Europe before 1990 brought only limited pluralism and could not contribute to genuine participation.  

  15. The Impacts of Theme-Based Language Instruction: A Case Study of an Advanced Chinese Intensive Program

    OpenAIRE

    Song Jiang

    2017-01-01

    Theme-based language teaching under Content-Based Instruction (CBI) is a pedagogical approach that emphasizes learning professional content along with language skills. This paper reports a case study on the impacts of a theme-based advanced Chinese intensive program in a university setting. It begins with a review of CBI and its theme-based approach and then discusses the program design, curriculum development, and instructional practice of the program. The impacts of the theme-based approach...

  16. Rubella (German Measles)

    Science.gov (United States)

    ... Preteen cold, ice Cold, Ice, and Snow Safety Rubella (German Measles) KidsHealth > For Parents > Rubella (German Measles) ... to Call the Doctor en español Rubéola About Rubella Rubella — commonly known as German measles or 3- ...

  17. Integrating the iPad into an intensive, comprehensive aphasia program.

    Science.gov (United States)

    Hoover, Elizabeth L; Carney, Anne

    2014-02-01

    The proliferation of tablet technology and the development of apps to support aphasia rehabilitation offer increasing opportunities for speech-language pathologists in a clinical setting. This article describes the components of an Intensive Comprehensive Aphasia Program at Boston University and details how usage of the iPad (Apple Inc., Cupertino, CA) was incorporated. We describe how the iPad was customized for use in individual, dyadic, and group treatment formats and how its use was encouraged through home practice tasks. In addition to providing the participants with step-by-step instructions for the usage of each new app, participants had multiple opportunities for practice across various treatment formats. Examples of how the participants continued using their iPad beyond the program suggest how the usage of this device has generalized into their day-to-day life. An overall summary of performance on targeted linguistic measures as well as an analysis of functional and quality-of-life measures reveal statistically significant improvements pre- to posttreatment. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  18. Impact of the Intensive Program of Emotional Intelligence (IPEI) on work supervisors.

    Science.gov (United States)

    Rodríguez García, Gustavo A; López-Pérez, Belén; Férreo Cruzado, Manuel A; Fernández Carrascoso, María E; Fernández, Juan

    2017-11-01

    This study aimed to evaluate the effect of the Intensive Program of Emotional Intelligence (IPEI; Fernández, 2016; Férreo, 2016) on middle managers’ emotional intelligence, as this variable may have a significant impact on personal satisfaction, task performance, and the work environment. The intervention was applied to work team supervisors in a large call center, as it is an overlooked sector in this topic. Two-hundred and eighty-two supervisors from a Madrid-based, Spanish multinational (51.4% men and 48.6% women) participated in this study. Participants were assigned to the experimental group (n = 190) or the control group (n = 92) by availability, according to management decision. All supervisors filled in two questionnaires to evaluate the different components of intrapersonal emotional intelligence (i.e., attention, clarity, and repair; TMMS-24; Fernández-Berrocal, Extremera, & Ramos, 2004) and cognitive and affective empathy (i.e., perspective taking, emotion understanding, empathic joy, and personal distress; TECA; López-Pérez, Fernández, & Abad, 2008). The findings showed an increase in the studied variables for the experimental group. The results obtained support middle managers’ training in emotional competences through short, efficient, economic programs. Potential limitations and implications of the results are discussed.

  19. Multithreaded transactions in scientific computing: New versions of a computer program for kinematical calculations of RHEED intensity oscillations

    Science.gov (United States)

    Brzuszek, Marcin; Daniluk, Andrzej

    2006-11-01

    Writing a concurrent program can be more difficult than writing a sequential program. Programmer needs to think about synchronisation, race conditions and shared variables. Transactions help reduce the inconvenience of using threads. A transaction is an abstraction, which allows programmers to group a sequence of actions on the program into a logical, higher-level computation unit. This paper presents multithreaded versions of the GROWTH program, which allow to calculate the layer coverages during the growth of thin epitaxial films and the corresponding RHEED intensities according to the kinematical approximation. The presented programs also contain graphical user interfaces, which enable displaying program data at run-time. New version program summaryTitles of programs:GROWTHGr, GROWTH06 Catalogue identifier:ADVL_v2_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADVL_v2_0 Program obtainable from:CPC Program Library, Queen's University of Belfast, N. Ireland Catalogue identifier of previous version:ADVL Does the new version supersede the original program:No Computer for which the new version is designed and others on which it has been tested: Pentium-based PC Operating systems or monitors under which the new version has been tested: Windows 9x, XP, NT Programming language used:Object Pascal Memory required to execute with typical data:More than 1 MB Number of bits in a word:64 bits Number of processors used:1 No. of lines in distributed program, including test data, etc.:20 931 Number of bytes in distributed program, including test data, etc.: 1 311 268 Distribution format:tar.gz Nature of physical problem: The programs compute the RHEED intensities during the growth of thin epitaxial structures prepared using the molecular beam epitaxy (MBE). The computations are based on the use of kinematical diffraction theory [P.I. Cohen, G.S. Petrich, P.R. Pukite, G.J. Whaley, A.S. Arrott, Surf. Sci. 216 (1989) 222. [1

  20. Effectiveness of A 16-week High-intensity Cardio-resistance Training (HICRT) Program in Adults.

    Science.gov (United States)

    Greenlee, Tina A; Greene, Daniel R; Ward, Nathan J; Reeser, Ginger E; Allen, Courtney M; Baumgartner, Nicholas W; Cohen, Neal J; Kramer, Arthur F; Hillman, Charles H; Barbey, Aron K

    2017-06-21

    The purpose of this study was to determine the efficacy of a novel, 16-week High-Intensity Cardio-Resistance Training (HICRT) program on measures of aerobic fitness, agility, aerobic power, muscular endurance, lower body explosive power, and self-reported activity level. The intervention group (N=129; 63 f, 24.65±5.55 y) had a baseline VO2max of 39.83±9.13. These individuals participated in 26, 70-minute exercise sessions, and 4 fitness testing sessions. Participants were matched with a non-exercise control group, paired by sex, age, and baseline VO2max. Matched controls (N = 129, 63 f, 24.26±5.59 y) had a baseline VO2max of 39.86±8.59 and completed pre- and post-intervention VO2max testing only. The results demonstrate that participants in the fitness intervention group significantly increased their VO2max (2.72±0.31, Mdiff±SE; plong jump (p=0.137). These findings demonstrate the efficacy of a novel, HICRT intervention across multiple dimensions of fitness for young and middle aged adults. HICRT affords flexibility for tailoring to meet desired health and fitness outcomes and makes perceivably daunting high-intensity functional training and multimodal sports training more accessible to general, traditionally non-athletic, populations.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

  1. Dialectical behavior therapy in an intensive outpatient program with a mixed-diagnostic sample.

    Science.gov (United States)

    Ritschel, Lorie A; Cheavens, Jennifer S; Nelson, Juliet

    2012-03-01

    Intensive outpatient programs (IOPs) have become increasingly common for treating highly distressed patients, and a burgeoning number of IOPs are based on, or informed by, dialectical behavior therapy (DBT). The goal of the present study was to evaluate the effectiveness of DBT in a community mental health center IOP for patients with heterogeneous diagnoses. Using a within-subjects design, we examined changes in depression, anxiety, mindfulness, and hope during DBT treatment in a community mental health center in the Midwestern United States. The final sample comprised 56 participants (59% female) ranging in age from 18 to 73 years, with a mean age of 36.8 years (standard deviation = 13.7). The majority of participants (80%) met criteria for a mood disorder, just over half met criteria for an anxiety disorder, and 20% met criteria for comorbid substance abuse or dependence. Over half met criteria for more than one diagnosis. Length of treatment varied based on the needs of the individual patient; treatment ranged from 2 to 16 weeks, with an average stay of 6 weeks. Depression and anxiety scores decreased significantly and hope scores increased significantly over the course of treatment (all p's anxiety scores after controlling for baseline symptom levels. Results suggest that this DBT-informed intervention was effective in reducing depression and anxiety and increasing hope. Because of the move away from inpatient hospitalizations over the last few decades, it is incumbent on the field to find alternative ways to treat patients in need of more acute, intensive care. Moreover, these treatments must be cost effective, as many of these patients have limited financial resources. Group therapy formats might provide an appropriate and needed bridge for this coverage gap. The results of this study suggest that a DBT-informed IOP might be an amenable treatment for this population. © 2012 Wiley Periodicals, Inc.

  2. Genetic correlations among canine hip dysplasia radiographic traits in a cohort of Australian German Shepherd Dogs, and implications for the design of a more effective genetic control program.

    Directory of Open Access Journals (Sweden)

    Bethany J Wilson

    Full Text Available Canine hip dysplasia (CHD is a common musculoskeletal disease in pedigree dog populations. It can cause severe pain and dysfunction which may require extensive medication and/or surgical treatment and often ultimately requires humane euthanasia. CHD has been found to be moderately heritable and, given its impact on welfare, should be considered an imperative breeding priority. The British Veterinary Association/Kennel Club scoring method is one of several measures used to assess the genetic propensity of potential breeding stock for dysplastic changes to the hips based on radiographic examination. It is a complex measure composed of nine ordinal traits, intended to evaluate both early and late dysplastic changes. It would be highly desirable if estimated breeding values (EBVs for these nine traits were consolidated into a simpler, EBV-based, selection index more easily usable by breeders. A multivariate analysis on the phenotype scores from an Australian cohort of 13,124 German Shepherd Dogs (GSDs returned genetic correlations between 0.48-0.97 for the nine traits which fell into two trait groups, Group 1 reflecting early changes ("laxity" and Group 2 reflecting late changes ("osteoarthritis". Principal components analysis of the ordinal EBVs suggested the same pattern, with strong differentiation between "laxity" and "osteoarthritis" traits in the second component. Taking account of all results, we recommend interim use of two selection indexes: the first being the average of ordinal EBVs for "laxity" traits and the second being the average of ordinal EBVs for "osteoarthritis" traits. The correlation between these two selection indexes (0.771-0.774 is sufficiently less than unity enabling the selection of dogs with different genetic propensity for laxity and for osteoarthritic CHD changes in GSDs; this may also be applicable in other breeds. Dogs with low propensity for severe osteoarthritic change in the presence of laxity may be of interest

  3. Genetic correlations among canine hip dysplasia radiographic traits in a cohort of Australian German Shepherd Dogs, and implications for the design of a more effective genetic control program.

    Science.gov (United States)

    Wilson, Bethany J; Nicholas, Frank W; James, John W; Wade, Claire M; Raadsma, Herman W; Thomson, Peter C

    2013-01-01

    Canine hip dysplasia (CHD) is a common musculoskeletal disease in pedigree dog populations. It can cause severe pain and dysfunction which may require extensive medication and/or surgical treatment and often ultimately requires humane euthanasia. CHD has been found to be moderately heritable and, given its impact on welfare, should be considered an imperative breeding priority. The British Veterinary Association/Kennel Club scoring method is one of several measures used to assess the genetic propensity of potential breeding stock for dysplastic changes to the hips based on radiographic examination. It is a complex measure composed of nine ordinal traits, intended to evaluate both early and late dysplastic changes. It would be highly desirable if estimated breeding values (EBVs) for these nine traits were consolidated into a simpler, EBV-based, selection index more easily usable by breeders. A multivariate analysis on the phenotype scores from an Australian cohort of 13,124 German Shepherd Dogs (GSDs) returned genetic correlations between 0.48-0.97 for the nine traits which fell into two trait groups, Group 1 reflecting early changes ("laxity") and Group 2 reflecting late changes ("osteoarthritis"). Principal components analysis of the ordinal EBVs suggested the same pattern, with strong differentiation between "laxity" and "osteoarthritis" traits in the second component. Taking account of all results, we recommend interim use of two selection indexes: the first being the average of ordinal EBVs for "laxity" traits and the second being the average of ordinal EBVs for "osteoarthritis" traits. The correlation between these two selection indexes (0.771-0.774) is sufficiently less than unity enabling the selection of dogs with different genetic propensity for laxity and for osteoarthritic CHD changes in GSDs; this may also be applicable in other breeds. Dogs with low propensity for severe osteoarthritic change in the presence of laxity may be of interest both in

  4. The effectiveness of German disease management programs (DMPs) in patients with type 2 diabetes mellitus and coronary heart disease: results from an observational longitudinal study.

    Science.gov (United States)

    Laxy, Michael; Stark, Renée; Meisinger, Christa; Kirchberger, Inge; Heier, Margit; von Scheidt, Wolfgang; Holle, Rolf

    2015-01-01

    Although the population-based German disease management programs (DMPs) for diabetes mellitus (DM) and coronary heart disease (CHD) are among the biggest worldwide, evidence on the effectiveness of these programs is still inconclusive or missing, particularly for high risk patients with comorbidities. The objective of this study was therefore to analyze the impact of DMPs on process and outcome parameters in patients with both, type 2 DM and CHD. Analyses are based on two postal surveys of patients from the KORA myocardial infarction registry (southern Germany) with type 2 DM and on two postal validation studies with patients' general physicians (2006, n = 312 and 2011, n = 212). The association between DMP enrollment (being enrolled in either DMP-DM or DMP-CHD) and guideline care (defined by several process indicators) at baseline (2006) and its development until follow-up (2011) was analyzed using logistic regression models accounting for the repeated measurements structure. The impact of DMP enrollment/guideline care on cumulated (quality-adjusted) life years ((QA)LYs) over a 4-year time horizon (2006-2010) was assessed using multiple linear regression methods. Logistic regression models were applied to analyze the association between DMP status and patient self-management at follow-up. Being enrolled in a DMP was associated with better guideline care at baseline [OR = 2.3 (95 % CI 1.27-4.03)], but not at follow-up [OR = 0.80 (95 % CI 0.40-1.58); p value for time-interaction management than patients not being enrolled into a DMP. The results of this study concerning the effectiveness of DMPs in patients with DM and CHD are mixed, but are weakly in favor of DMPs. However, we found a clear positive impact of guideline care on quality adjusted survival in this patient group. The development of the association between DMP enrollment and guideline care over the follow-up time indicates some external effects, which should be the subject of further

  5. Web-Based Treatment Program Using Intensive Therapeutic Contact for Patients With Eating Disorders: Before-After Study

    NARCIS (Netherlands)

    Huurne, E.D. ter; Postel, M.G.; Haan, H.A. de; Drossaert, C.H.C.; Jong, C.A.J. de

    2013-01-01

    Background: Although eating disorders are common in the Netherlands, only a few patients are treated by mental health care professionals. To reach and treat more patients with eating disorders, Tactus Addiction Treatment developed a web-based treatment program with asynchronous and intensive

  6. Long-term follow-up of a high-intensity exercise program in patients with rheumatoid arthritis.

    NARCIS (Netherlands)

    Jong, Z. de; Munneke, M.; Kroon, H.M.; Schaardenburg, D. van; Dijkmans, B.A.; Hazes, J.M.; Vliet Vlieland, T.P.M.

    2009-01-01

    The aims of this study were to describe rheumatoid arthritis patients' compliance with continued exercise after participation in a 2-year supervised high-intensity exercise program and to investigate if the initially achieved effectiveness and safety were sustained. Data were gathered by follow-up

  7. Long-term follow-up of a high-intensity exercise program in patients with rheumatoid arthritis

    NARCIS (Netherlands)

    Z. de Jong (Zuzana); M. Munneke (Marten); H.M. Kroon (Herman); D. van Schaardenburg (Dirkjan); B.A.C. Dijkmans (Ben); J.M.W. Hazes (Mieke); T.P.M. Vliet Vlieland (Theodora)

    2009-01-01

    textabstractThe aims of this study were to describe rheumatoid arthritis patients' compliance with continued exercise after participation in a 2-year supervised high-intensity exercise program and to investigate if the initially achieved effectiveness and safety were sustained. Data were gathered by

  8. Factors Related to Outcome in a School-Based Intensive Mental Health Program: An Examination of Nonresponders

    Science.gov (United States)

    Jacobs, Anne K.; Roberts, Michael C.; Vernberg, Eric M.; Nyre, Joseph E.; Randall, Camille J.; Puddy, Richard W.

    2008-01-01

    We examined factors related to treatment responders (n = 35) and nonresponders (n = 16) in a group of 51 children admitted to the Intensive Mental Health Program (IMHP). Children's response to treatment was coded based on their functioning at intake and discharge using total CAFAS scores. Demographic variables, length of treatment, number of…

  9. Maury Journals - German Vessels

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — German vessels observations, after the 1853 Brussels Conference that set International Maritime Standards, modeled after Maury Marine Standard Observations.

  10. Perceived effects of attending physician workload in academic medical intensive care units: a national survey of training program directors.

    Science.gov (United States)

    Ward, Nicholas S; Read, Richard; Afessa, Bekele; Kahn, Jeremy M

    2012-02-01

    Increases in the size and number of American intensive care units have not been accompanied by a comparable increase in the critical care physician workforce, raising concerns that intensivists are becoming overburdened by workload. This is especially concerning in academic intensive care units where attending physicians must couple teaching duties with patient care. We performed an in-person and electronic survey of the membership of the Association of Pulmonary and Critical Care Medicine Program Directors, soliciting information about patient workload, other hospital and medical education duties, and perceptions of the workplace and teaching environment of their intensive care units. Eighty-four out of a total 121 possible responses were received from program directors or their delegates, resulting in a response rate of 69%. The average daily (SD) census (as perceived by the respondents) was 18.8 ± 8.9 patients, and average (SD) maximum service size recalled was 24.1 ± 9.9 patients. Twenty-seven percent reported no policy setting an upper limit for the daily census. Twenty-eight percent of respondents felt the average census was "too many" and 71% felt the maximum size was "too many." The median (interquartile range) patient-to-attending physician ratio was 13 (10-16). When categorized according to this median, respondents from intensive care units with high patient/physician ratios (n = 31) perceived significantly more time constraints, more stress, and difficulties with teaching trainees than respondents with low patient/physician ratios (n = 40). The total number of non-nursing healthcare workers per patient was similar in both groups, suggesting that having more nonattending physician staff does not alleviate perceptions of overwork and stress in the attending physician. Academic intensive care unit physicians that direct fellowship programs frequently perceived being overburdened in the intensive care unit. Understaffing intensive care units with attending

  11. Comparison of irradiated and hydrogen implanted German RPV steels using PAS technique

    Energy Technology Data Exchange (ETDEWEB)

    Pecko, Stanislav, E-mail: stanislav.pecko@stuba.sk; Sojak, Stanislav; Slugeň, Vladimír

    2015-12-15

    Highlights: • German RPV steels were originally studied by positron annihilation spectroscopy. • Neutron irradiated and hydrogen ion implanted specimens were studied. • Both irradiation ways caused to increase of defect size. • We determined that the defect size was higher in implanted specimens. - Abstract: Radiation degradation of nuclear materials can be experimentally simulated via ion implantation. In our case, German reactor pressure vessel (RPV) steels were studied by positron annihilation lifetime spectroscopy (PALS). This spectroscopic method is a really effective tool for the evaluation of microstructural changes and for the analysis of degradation of reactor steels due to irradiation. German commercial reactor pressure vessel steels, originally from CARISMA program, were used in our study. The German experimental reactor VAK was selected as the proper irradiation facility in the 1980s. A specimen in as-received state and 2 different irradiated cuts from the same material were measured by PALS and size of defects with their intensity was indentified. Afterwards there was prepared an experiment with concern in simulation of neutron irradiation by hydrogen ion implantation on a linear accelerator with energy of 100 keV. Results are concerning on comparison between defects caused by neutron irradiation and hydrogen implantation. The size and intensity of defects reached a similar level as in the specimens irradiated in the nuclear reactor due to hydrogen ions implantation.

  12. Mixed integer programming with dose-volume constraints in intensity-modulated proton therapy.

    Science.gov (United States)

    Zhang, Pengfei; Fan, Neng; Shan, Jie; Schild, Steven E; Bues, Martin; Liu, Wei

    2017-09-01

    In treatment planning for intensity-modulated proton therapy (IMPT), we aim to deliver the prescribed dose to the target yet minimize the dose to adjacent healthy tissue. Mixed-integer programming (MIP) has been applied in radiation therapy to generate treatment plans. However, MIP has not been used effectively for IMPT treatment planning with dose-volume constraints. In this study, we incorporated dose-volume constraints in an MIP model to generate treatment plans for IMPT. We created a new MIP model for IMPT with dose volume constraints. Two groups of IMPT treatment plans were generated for each of three patients by using MIP models for a total of six plans: one plan was derived with the Limited-memory Broyden-Fletcher-Goldfarb-Shanno (L-BFGS) method while the other plan was derived with our MIP model with dose-volume constraints. We then compared these two plans by dose-volume histogram (DVH) indices to evaluate the performance of the new MIP model with dose-volume constraints. In addition, we developed a model to more efficiently find the best balance between tumor coverage and normal tissue protection. The MIP model with dose-volume constraints generates IMPT treatment plans with comparable target dose coverage, target dose homogeneity, and the maximum dose to organs at risk (OARs) compared to treatment plans from the conventional quadratic programming method without any tedious trial-and-error process. Some notable reduction in the mean doses of OARs is observed. The treatment plans from our MIP model with dose-volume constraints can meet all dose-volume constraints for OARs and targets without any tedious trial-and-error process. This model has the potential to automatically generate IMPT plans with consistent plan quality among different treatment planners and across institutions and better protection for important parallel OARs in an effective way. © 2017 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on

  13. The Metabolic Cost of a High Intensity Exercise Program During Bed Rest

    Science.gov (United States)

    Hackney, Kyle; Everett, Meghan; Guined, Jamie; Cunningham, Daid

    2012-01-01

    Background: Given that disuse-related skeletal muscle atrophy may be exacerbated by an imbalance between energy intake and output, the amount of energy required to complete exercise countermeasures is an important consideration in the well being of subject health during bed rest and spaceflight. Objective: To evaluate the energy cost of a high intensity exercise program performed during short duration bed rest. Methods: 9 subjects (8 male and 1 female; 34.5 +/- 8.2 years) underwent 14 days of bed rest and exercise countermeasures. Exercise energy expenditure and excess post exercise oxygen consumption (EPOC) were collected once in each of 5 different exercise protocols (30 second, 2 minute and 4 minute intervals, continuous aerobic and a variety of resistance exercises) during bed rest. Body mass, basal metabolic rate (BMR), upper and lower leg muscle, subcutaneous, and intramuscular adipose tissue (IMAT) volumes were assessed before and at the end of bed rest. Results: There were no significant differences in body mass (pre: 75.1 +/- 10.5 kg; post: 75.2 +/- 10.1 kg), BMR (pre: 1649 +/- 216 kcal; post: 1657 +/- 177 kcal), muscle subcutaneous, or IMAT volumes (Table 2) after 14 days of bed rest and exercise. Body mass was maintained with an average daily intake of 2710 +/- 262 kcal (36.2 +/- 2.1 kcal/kg/day), while average daily energy expenditure was 2579 +/-311 kcal (34.5 +/- 3.6 kcal/kg/day). Exercise energy expenditure was significantly greater as a result of continuous aerobic exercise than all other exercise protocols.

  14. Health Information in German (Deutsch)

    Science.gov (United States)

    ... Tools You Are Here: Home → Multiple Languages → German (Deutsch) URL of this page: https://medlineplus.gov/languages/german.html Health Information in German (Deutsch) To use the sharing features on this page, ...

  15. Load-controlled moderate and high-intensity resistance training programs provoke similar strength gains in young women.

    Science.gov (United States)

    Alegre, Luis M; Aguado, Xavier; Rojas-Martín, Diego; Martín-García, María; Ara, Ignacio; Csapo, Robert

    2015-01-01

    While current exercise guidelines recommend progressive, high-intensity resistance training (RT) to promote muscle hypertrophy and strength gains, controversy exists regarding the efficacy of lighter-load RT. We compared 2 work-matched RT interventions that differed in training intensity. Fifteen women underwent 10 weeks of unilateral knee extensor RT. One leg was trained at increasing intensity (intensity leg, InL, 50-80% 1-repetition maximum [1-RM]), and training progression in the contralateral leg (volume leg, VoL, 50% 1-RM) was based on increasing training volumes. Quadriceps muscle size (ultrasound, dual energy X-ray absorptiometry) and strength (isokinetic dynamometry) were assessed on 4 occasions. Both training programs induced significant, yet comparable increases in muscle size (InL: +4.6-12%, VoL: +3.1-11%) and strength (InL: +10-16%, VoL: +10-14%). Training at lower than commonly suggested intensities may be an equally effective alternative form of RT. Factors other than training intensity, such as the total mechanical work during training, may strongly affect the training response. © 2014 Wiley Periodicals, Inc.

  16. The development of quality assurance programs for radiotherapy within the German Hodgkin Study Group (GHSG). Introduction, continuing work, and results of the radiotherapy reference panel.

    Science.gov (United States)

    Müller, Rolf-Peter; Eich, Hans Theodor

    2005-09-01

    The German Hodgkin Study Group (GHSG), including more than 500 participating centers, established a central radiotherapy (RT) reference center to improve quality of treatment, starting with the first study generation in 1978. More than 11,000 patients with Hodgkin's lymphoma (HL) have been enrolled into these trials. Extensive continuing quality assurance programs (QAPs) during the study generations have been performed. The purpose of the present article is to summarize the experiences and results of the performed and ongoing QAPs. A panel of expert radiation oncologists (second study generation HD4-6, 1988-1994, and third study generation HD7-9, 1993-1998) retrospectively evaluated the adequacy of treatment fields, applied radiation doses, treatment time, and technical parameters. Furthermore, a detailed analysis of relapses in correlation with the performed RT was conducted. For the fourth study generation (HD10-12, 1998-2002), the RT reference center changed from Munich to Cologne. New RT QAPs were initiated according to the demands of the new trials and former programs were enhanced: (1) central prospective radiation oncologic review of cross-sectional imaging (HD10, HD11) to create the individual radiation treatment plan; (2) retrospective analysis of the adequacy of the performed involved-field (IF) RT (HD10, HD11); (3) the multidisciplinary HD12 panel (radiation oncologists, medical oncologists, diagnostic radiologists); (4) initiation and integration of a teleradiotherapy network into the GHSG trials. A strong achievement of these activities in the era of extended-field RT was to show that major deviations of radiation treatment portals and radiation dose from prospective treatment prescriptions revealed to be unfavorable prognostic factors for patients with early-stage HL (HD4). The central prospective radiation oncological review of all diagnostic imaging (HD10, HD11) showed that corrections of disease involvement in 49% of patients (593/1,214) with early

  17. Retraining in Business German through the Goethe Institute in West Germany.

    Science.gov (United States)

    Clay, Gudrun; Schutte, Lilith

    A college language instructor recounts his experience in a retraining program in business German at the West Germany's Goethe Institute. Twenty-eight individuals from the United States and from five European countries participated in a program that offered (1) a 14-day immersion into business-related German, (2) establishment of German business…

  18. CAN POLITICIANS SPEED UP LONG-TERM TECHNOLOGICAL CHANGE? SOME INSIGHTS FROM A COMPARISON OF THE GERMAN AND US-AMERICAN SYNTHETIC RUBBER PROGRAMS BEFORE, DURING AND AFTER WORLD WAR II

    Directory of Open Access Journals (Sweden)

    Jochen Streb

    2003-01-01

    Full Text Available I investigated the effect of government demand on firms’ innovation activities comparing the German and American synthetic rubber industries before, during and after World War II. I obtained three main results. 1. Because of the low price of natural rubber, price and sales guarantees were needed to motivate firms to produce the synthetic rubber BUNA S. 2. Facing fixed prices I.G. Farben improved their efficiency more than the American firms working under cost plus contracts. 3. The patent sharing agreement of the American synthetic rubber program caused firms to hold back advanced synthetic rubber inventions.

  19. 95. German Roentgen congress and 7. joint congress of the DRG and OeRG. Program with abstracts; 95. Deutscher Roentgenkongress und 7. Gemeinsamer Kongress von DRG und OeRG. Vollstaendiges Programm mit Abstracts

    Energy Technology Data Exchange (ETDEWEB)

    Diederich, Stefan; Lammer, Johannes (eds.)

    2014-05-15

    The volume contains the program and the abstracts of the 95th German Roentgen congress and the 7th joint congress of the DRG and OeRG. The radiological focal points of the congress were thorax radiology (pneumology: lung fibrosis, emphysema); oncological radiology: skeletal carcinoma, lung carcinoma, kidneys, lung metastases, primary liver carcinoma, liver metastases. Further topics included radiology in hospitals and medical centers, tele-radiology, ambulant health care, legal issues, financial accounting and management issues. Several courses an specific radiological issues and radiological techniques were offered, including radiation protection and legal aspects.

  20. Web-based treatment program using intensive therapeutic contact for patients with eating disorders: before-after study.

    Science.gov (United States)

    ter Huurne, Elke D; Postel, Marloes G; de Haan, Hein A; Drossaert, Constance H C; DeJong, Cor A J

    2013-02-04

    Although eating disorders are common in the Netherlands, only a few patients are treated by mental health care professionals. To reach and treat more patients with eating disorders, Tactus Addiction Treatment developed a web-based treatment program with asynchronous and intensive personalized communication between the patient and the therapist. This pilot study evaluated the web-based treatment program using intensive therapeutic contact in a population of 165 patients with an eating disorder. In a pre-post design with 6-week and 6-month follow-ups, eating disorder psychopathology, body dissatisfaction, Body Mass Index, physical and mental health, and quality of life were measured. The participant's satisfaction with the web-based treatment program was also studied. Attrition data were collected, and participants were classified as noncompleters if they did not complete all 10 assignments of the web-based treatment program. Differences in baseline characteristics between completers and noncompleters were studied, as well as reasons for noncompletion. Furthermore, differences in treatment effectiveness, treatment adherence, and baseline characteristics between participants of the three major eating disorder diagnostic groups EDNOS (n=115), BN purging (n=24), and BN nonpurging (n=24) were measured. Of the 165 participants who started the web-based treatment program, 89 participants (54%) completed all of the program assignments (completers) and 76 participants (46%) ended the program prematurely (noncompleters). Severe body dissatisfaction and physical and mental health problems seemed to have a negative impact on the completion of the web-based treatment program. Among the participants who completed the treatment program, significant improvements were found in eating disorder psychopathology (F=54.6, df = 68, Pmental health also significantly improved, and almost all of these positive effects were sustained up to 6 months after the participants had completed the web

  1. German Idealism Today

    DEFF Research Database (Denmark)

    Rasmussen, Anders Moe; Gabriel, Markus

    This collection of essays provides an exemplary overwiew of the diversity and relevance of current scholarship on German Idealism. The importance of German Idealism for contemporary philosophy has recieved growing attention and acknowledgment throughout competing fields of contemporary philosophy....... Part of the growing interest rests on the claim that the works of Kant, Fichte, Schelling, Hegel remain of considerable interest for cultural studies, sociology, theology aesthetics and other ereas. In the domain of philosophy, the renaissance of innovative readings of German Idealism has taken...

  2. Easily Administered Patient-Reported Outcome Measures: Adolescents' Perceived Functional Changes After Completing an Intensive Chronic Pain Rehabilitation Program.

    Science.gov (United States)

    Kempert, Heidi; Benore, Ethan; Heines, Rachel

    2017-01-01

    To determine whether patient-reported measures would be clinically sensitive and useful for identifying functional change within an intensive chronic pain program setting by examining 2 patient-reported measures administered as part of physical and occupational therapy for chronic pain. A retrospective data analysis of children and adolescents with chronic pain treated over a single calendar year. Paired t tests evaluated change in perceived function measures and pain over time. Standardized residual change scores were used in subsequent regression to assess associations between change scores. An interdisciplinary pediatric pain rehabilitation program that supports children and adolescents with chronic pain by increasing strength, flexibility, and endurance; facilitating a return to daily life activities; and using appropriate self-directed coping and pain management skills. Children and adolescents (N=109; age range, 8-19y; 83% girls) with various chronic pain diagnoses who were admitted to a 3- to 4-week intensive pain rehabilitation program. Participants were involved in physical and occupational therapy for 3 hours daily, as well as recreation therapy, psychology, school, aquatics, art therapy, and music therapy for a total of 8 hours daily. Parents were involved in parent education with therapists from all disciplines in conjunction with their child's programming. Lower Extremity Functional Scale (LEFS), Upper Extremity Functional Index (UEFI), and self-reported pain severity rating on 0-to-10 numerical rating scale. Data demonstrated significant gains in LEFS and UEFI during the program. Improvement in perceived functioning was significantly correlated with a reduction in pain. The LEFS and UEFI provide a meaningful way to track progress in chronic pain rehabilitation. Using self-perceived measures, children and adolescents noted significant functional improvement, associated with less pain intensity. These findings increase our understanding of the

  3. German Business in Russia

    Directory of Open Access Journals (Sweden)

    Irakliy D. Gvazava

    2013-01-01

    Full Text Available Since Perestroika German-Russian relationships have been steadily developing fueled by close contacts between the leaders of both countries. Boris Yeltsin and Helmut Kohl, Vladimir Putin and Gerhard Schröder, Dmitry Medvedev and Angela Merkel had friendly relations resulted in some fruitful business projects, intergovernmental economic forums etc. In my article I will consider the activities of German companies in Russia, advantages, barriers and expectations

  4. German Sociology After Reunification

    OpenAIRE

    Dinç, Cüneyd

    2011-01-01

    Since the 1990s German sociology is confronted with a lost of its “supremeness of interpretation” of societal trends and processes to other academic disciplines, like biology or anthropology. This may be surprising, if one compares the situation in the 1960s and 1970s, where Sociology in Germany was a leading science, analyzing the problems and contradictions of German society and was important for the academic and intellectual socialization of a generation of young students and s...

  5. Germanic Verb Particle Variation

    DEFF Research Database (Denmark)

    Vikner, Sten

    2017-01-01

    This paper has two closely related goals. The more "global" one is to present an overview of the variation conceming verb particles across the Germanic languages (see e.g. den Dikken 1995; Haiden 2005; Mclntyre 2007 and many others), and the more "local" one is to use some of this variation data ...... to argue for Yiddish being an SOV-language like German and Dutch rather than an SVO-language like English and the Scandinavian languages....

  6. Intensive Training Program To Enhance Life Skills among People Who Are Visually Impaired.

    Science.gov (United States)

    White, K. D.; Saravanabhavan, R. C.

    1995-01-01

    This paper describes a summer program teaching independent living skills to 20 adults with visual impairments. Results suggest the program had a lasting and profound impact on clients' previously low knowledge of job hunting, decision making, stress management, and self-care skills. Interaction with other adults with visual impairments and…

  7. Improving Science Vocabulary of Six Grade Migrant Students through a Program of Intensive Direct Vocabulary Instruction.

    Science.gov (United States)

    Moran, Melba Q.

    This case study describes a project designed to improve science vocabulary and comprehension of migrant sixth-grade students in a rural farming-community middle school. The project combined intensive direct teaching of science vocabulary with the national unified curriculum implemented in 1984. The subjects of the project were migrant children…

  8. Intensive patient education and treatment program for young adults with atopic dermatitis

    NARCIS (Netherlands)

    Coenraads, PJ; Span, L; Jaspers, JPC; Fidler, [No Value

    Background and Objective. By means of a 2-week intensive multidisciplinary training & treatment course in small groups (ISBP), young adults with atopic dermatitis may be able to achieve better self-management of their disease and reduce their number of doctor visits. Methods. Patients aged 18-35

  9. A study of an intensive home-based treatment program and its ...

    African Journals Online (AJOL)

    Adele

    eral practitioner care to individually tailored community nursing in- terventions in the ... dementia and their carers when an intensive aged care service was .... Anxiety disor- ders accounted for 16% of all case managed patients, with 24% of IPs and 30% of those on the IHBP suffering from anxiety disorders (Table 2). 5% of ...

  10. Integrative Teaching Techniques and Improvement of German Speaking Learning Skills

    Science.gov (United States)

    Litualy, Samuel Jusuf

    2016-01-01

    This research ist a Quasi-Experimental research which only applied to one group without comparison group. It aims to prove whether the implementation of integrative teaching technique has influenced the speaking skill of the students in German Education Study Program of FKIP, Pattimura University. The research was held in the German Education…

  11. Prevention, diagnosis, therapy and follow-up care of sepsis: 1st revision of S-2k guidelines of the German Sepsis Society (Deutsche Sepsis-Gesellschaft e.V. (DSG and the German Interdisciplinary Association of Intensive Care and Emergency Medicine (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin (DIVI

    Directory of Open Access Journals (Sweden)

    Reinhart, K.

    2010-01-01

    Full Text Available Practice guidelines are systematically developed statements and recommendations that assist the physicians and patients in making decisions about appropriate health care measures for specific clinical circumstances taking into account specific national health care structures. The 1st revision of the S-2k guideline of the German Sepsis Society in collaboration with 17 German medical scientific societies and one self-help group provides state-of-the-art information (results of controlled clinical trials and expert knowledge on the effective and appropriate medical care (prevention, diagnosis, therapy and follow-up care of critically ill patients with severe sepsis or septic shock. The guideline had been developed according to the “German Instrument for Methodological Guideline Appraisal” of the Association of the Scientific Medical Societies (AWMF. In view of the inevitable advancements in scientific knowledge and technical expertise, revisions, updates and amendments must be periodically initiated. The guideline recommendations may not be applied under all circumstances. It rests with the clinician to decide whether a certain recommendation should be adopted or not, taking into consideration the unique set of clinical facts presented in connection with each individual patient as well as the available resources.

  12. Lernen Wir Deutsch: Part I, German.

    Science.gov (United States)

    Dade County Public Schools, Miami, FL.

    Instructional objectives of the Dade County Public Schools Quinmester Program in German for use with "Lernen Wir Deutsch: Part 1" focus on the development of basic skills through the use of short dialogues and structured exercises. The contents of this guide focus on: (1) course description, (2) broad goals and performance objectives,…

  13. Lernen Wir Deutsch!: Part 2, German.

    Science.gov (United States)

    Dade County Public Schools, Miami, FL.

    Instructional objectives of the Dade County Public Schools Quinmester Program in German for use with "Lernen Wir Deutsch: Part 2" focus on development of basic skills through the use of short dialogues and structured exercises. The grammar of the course includes the study of nouns, pronouns, and verbs. Possessive determiners are…

  14. Pragmatics in Interlanguage: German Modal Particles.

    Science.gov (United States)

    Mollering, Martina; Nunan, David

    1995-01-01

    Argues that mastery of modal particles is important for interpersonal aspects of language development. The article outlines the difficulty of learning and teaching German modal particles with regard to the theoretical explication. The study shows how a teaching program improved initially poor comprehension and production skills in the area of…

  15. Short-term moderate intensive high volume training program provides aerobic endurance benefit in wheelchair basketball players.

    Science.gov (United States)

    Skucas, Kestutis; Pokvytyte, Vaida

    2017-04-01

    The aim of this paper was to investigate the effect of short-term period, moderate intensity and high volume endurance training on physiological variables in elite wheelchair basketball players. Eight wheelchair basketball players were examined. The subjects participated in a two-week intervention program of mainly two training types: wheelchair basketball and wheelchair driving endurance training. The subjects performed the continuously increasing cycling exercise (CCE) at the constant 60 rpm arm cranking speed at the beginning of the program and after two weeks of the program. The initial workload was 20 W, then the workload was increased by 2 W every 5 seconds until fatigue. The post training of the wheelchair basketball group in the study showed a significant improvement in the peak oxygen uptake (VO2peak) and the peak power output (POpeak). VO2peak increased by 9% from 2.32±0.16 L/min to 2.53±0.2 L/min (Ptraining and post training test power output (PO [w]), relative power output (PO [w/kg]) increased significantly in all zones of energy production. In conclusion, this study indicated that the wheelchair basketball squad had relatively high levels of aerobic fitness prior to participating in the endurance training program. Nevertheless, the high-volume, moderate-intensity, short-term training program, which evolved over the two-weeks period, resulted in the improvement of the athlete's aerobic endurance. The ventilatory threshold (VT) and the second ventilatory threshold (VT2) are good markers for aerobic capacity of wheelchair athletes.

  16. The Impacts of Theme-Based Language Instruction: A Case Study of an Advanced Chinese Intensive Program

    Directory of Open Access Journals (Sweden)

    Song Jiang

    2017-06-01

    Full Text Available Theme-based language teaching under Content-Based Instruction (CBI is a pedagogical approach that emphasizes learning professional content along with language skills. This paper reports a case study on the impacts of a theme-based advanced Chinese intensive program in a university setting. It begins with a review of CBI and its theme-based approach and then discusses the program design, curriculum development, and instructional practice of the program. The impacts of the theme-based approach are examined based on the pre- and post-proficiency test results, learners’ self-reported surveys on the themes and topics, and the reading strategies covered in the program. Qualitative analysis of learners’ self-reflections and program evaluations is also presented. Based on the evidence collected, this paper argues that the theme-based model has positive impacts on improving language proficiency, preparing for academic and professional language use, cultivating strategic language learners, and revitalizing Chinese teaching at the superior level.

  17. Treatment-Induced Neuroplasticity Following Intensive Speech Therapy and a Home Practice Program in Fifteen Cases of Chronic Aphasia

    Directory of Open Access Journals (Sweden)

    Jacquie Kurland

    2015-04-01

    •\tActivity in R posSTG decreased over time for CORR pictures while increasing over time for TR/PR pictures Discussion Short-term intensive treatment followed by a home practice program can produce enduring language improvements that provide rich opportunities for investigating treatment-induced neuroplasticity in aphasia. Given the high degree of individual variability in lesion location/extent, and the resulting variability in aphasia type/severity, it makes sense to examine treatment-induced changes in neural activity patterns within subjects where ‘signature’ patterns of activity are remarkably reliable across time.

  18. Exercise intensity and cardiovascular responses during and after exercise on pilates basic exercise program in comparison with those brisk walking

    OpenAIRE

    丹後, 亮子; 向本, 敬洋; 植田, 央; 韓, 一栄; 山口, 実由紀; 大野, 誠

    2012-01-01

    The purpose of this study was to investigate exercise intensity and cardiovascular responses during and after exercise on Pilates basic exercise program. Subjects were eleven women (age 38.3±6.3 years, height 160.1±5.4 cm, body weight 51.6±5.4 kg). They performed the following two exercises for 30 minutes on separate days; 1) Pilates basic exercise, 2) brisk walking (95 m/min). Oxygen uptake (VO2) was measured by breath-by-breath with monitoring of the heart rate (HR) during the exercise sess...

  19. Intensified colonisation screening according to the recommendations of the German Commission for Hospital Hygiene and Infectious Diseases Prevention (KRINKO): identification and containment of a Serratia marcescens outbreak in the neonatal intensive care unit, Jena, Germany, 2013-2014.

    Science.gov (United States)

    Dawczynski, Kristin; Proquitté, Hans; Roedel, Jürgen; Edel, Brigit; Pfeifer, Yvonne; Hoyer, Heike; Dobermann, Helke; Hagel, Stefan; Pletz, Mathias W

    2016-12-01

    In 2013, the German Commission for Hospital Hygiene and Infectious Disease Prevention (KRINKO) stated that extending weekly colonisation screening from very low birth weight (VLBW) infants (Serratia marcescens. Strains were typed by Pulsed Field Gel Electrophoresis (PFGE). Over 6 months, 19 out of 159 infants acquired S. marcescens. Twelve of the nineteen patients with S. marcescens were non-VLBW infants, and they were colonised significantly earlier than were VLBW infants (median 17 vs. 28 days; p marcescens.

  20. LaissezFair: A Case for Greening the Business German Curriculum

    Science.gov (United States)

    Gonglewski, Margaret; Helm, Anna

    2013-01-01

    An effective way to teach about sustainability and environmentally conscious practices in German language, literature, and culture programs is within the context of a business German course. In this article we first situate educational sustainability in the US, leading into an examination of why the context of German business can be particularly…

  1. A study of an intensive home-based treatment program and its ...

    African Journals Online (AJOL)

    Adele

    treatment program and its impact on admissions in an aged-care setting eral practitioner care to individually tailored community nursing in- terventions in the primary care setting also found the latter to be more effective for elderly people with depression.8 In an elderly dis- abled population, community psychiatric treatment ...

  2. Evaluation of a Peer-Led, Low-Intensity Physical Activity Program for Older Adults

    Science.gov (United States)

    Werner, Danilea; Teufel, James; Brown, Stephen L.

    2014-01-01

    Background: Physical inactivity is a primary contributor to decreasing functional physical fitness and increasing chronic disease in older adults. Purpose: This study assessed the health-related benefits of ExerStart for Lay Leaders, a 20-week, community based, peer-led, low-impact exercise program for older adults. ExerStart focuses on aerobic…

  3. An intensive virtual reality program improves functional balance and mobility of adolescents with cerebral palsy.

    Science.gov (United States)

    Brien, Marie; Sveistrup, Heidi

    2011-01-01

    To examine functional balance and mobility in adolescents with cerebral palsy classified at Gross Motor Function Classification System (GMFCS) level I following an intensive short-duration virtual reality (VR) intervention. Single-subject, multiple-baseline design with 4 adolescents. Outcomes included the Community Balance and Mobility Scale (CB&M), the 6-Minute Walk Test (6MWT), the Timed Up and Down Stairs, and the Gross Motor Function Measure Dimension E. Assessments were recorded 3 to 6 times at baseline, 5 times during intervention, and 4 times at follow-up. Daily 90-minute VR intervention was completed for 5 consecutive days. Visual, statistical, and clinical significance analyses were used. Statistically significant improvements were shown in all adolescents on CB&M and 6MWT. True change was recorded in all for the CB&M and in 3 for the 6MWT. Functional balance and mobility in adolescents with cerebral palsy classified at GMFCS level I improve with intense, short duration VR intervention, and changes are maintained at 1-month posttraining.

  4. Comparison of irradiated and hydrogen implanted German RPV steels using PAS technique

    Science.gov (United States)

    Pecko, Stanislav; Sojak, Stanislav; Slugeň, Vladimír

    2015-12-01

    Radiation degradation of nuclear materials can be experimentally simulated via ion implantation. In our case, German reactor pressure vessel (RPV) steels were studied by positron annihilation lifetime spectroscopy (PALS). This spectroscopic method is a really effective tool for the evaluation of microstructural changes and for the analysis of degradation of reactor steels due to irradiation. German commercial reactor pressure vessel steels, originally from CARISMA program, were used in our study. The German experimental reactor VAK was selected as the proper irradiation facility in the 1980s. A specimen in as-received state and 2 different irradiated cuts from the same material were measured by PALS and size of defects with their intensity was indentified. Afterwards there was prepared an experiment with concern in simulation of neutron irradiation by hydrogen ion implantation on a linear accelerator with energy of 100 keV. Results are concerning on comparison between defects caused by neutron irradiation and hydrogen implantation. The size and intensity of defects reached a similar level as in the specimens irradiated in the nuclear reactor due to hydrogen ions implantation.

  5. Comparative study of irradiated and hydrogen implantation damaged German RPV steels from PAS point of view

    Science.gov (United States)

    Pecko, Stanislav; Sojak, Stanislav; Slugeň, Vladimír

    2014-09-01

    Commercial German reactor pressure vessel (RPV) steels were studied by positron annihilation lifetime spectroscopy (PALS). This unique non-destructive method can be effectively applied for the evaluation of microstructural changes and for the analysis of degradation of reactor steels due to neutron irradiation and proton implantation. Studied specimens of German reactor pressure vessel steels are originally from CARINA/CARISMA program. Eight specimens were measured in as-received state and two specimens were irradiated by neutrons in German experimental reactor VAK (Versuchsatomkraftwerk Kahl) in the 1980s. One of the specimens which was also in as-received and neutron irradiated condition was also used for simulation of neutron damage by hydrogen nuclei implantation. Defects with the size of about 1-2 vacancies with relatively small contribution (with intensity on the level of 20-40%) were observed in "as-received" steels. A significant increase in the size of the induced defects due to neutron damage was observed at a level of 2-3 vacancies in the irradiated specimens. The size and intensity of defects reached a similar level as in the specimens irradiated in nuclear reactor due to hydrogen ions implantation with energy of 100 keV (up to the depth <500 nm). This could confirm the ability to simulate neutron damage by ion implantation.

  6. Fifth German-American Frontiers of Engineering Symposium

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-05-01

    The agenda book for the Fifth German-American Frontiers of Engineering Symposium contains abstracts of the 16 presentations as well as information on the program, bios of the speakers, contact information for all attendees, and background on the activity.

  7. Impact of a continuous education program on the quality of assistance offered by intensive care physiotherapy

    Science.gov (United States)

    Pinto, Walkyria Araújo Macedo; Rossetti, Heloisa Baccaro; Araújo, Abigail; Spósito Júnior, José Jonas; Salomão, Hellen; Mattos, Simone Siqueira; Rabelo, Melina Vieira; Machado, Flávia Ribeiro

    2014-01-01

    Objective To evaluate the role of quality indicators and adverse events registering in the quality assessment of intensive care physiotherapy and to evaluate the impact of implementing protocolized care and professional training in the quality improvement process. Methods A prospective before-after study was designed to assess 15 indicators of the quality of care. Baseline compliance and adverse events were collected before and after the implementation of treatment protocols and staff training. Results Eighty-nine patients admitted, being 48 in the pre-intervention period and 41 in the post-intervention period with a total of 1246 and 1191 observations respectively. Among the indicators related to the global population, there was a significant improvement in chest x-ray control, multidisciplinary rounds and shift changes as well as in compliance with these decisions. Indicators related to the population under mechanical ventilation, obtained by direct observation at bedside, showed a significant improvement in the compliance with the tidal volume of 6-8mL/Kg, plateau pressure <30cmH2O, adequate mechanical ventilation alarm setting, mechanical ventilation humidification control, adequate humidification line exchange and orotracheal tube position. Among the mechanical ventilation indicators collected through the physiotherapy records, there was significantly improved compliance with the predicted tidal volume registry and cuff pressure registry. There was a significant reduction in the number of adverse events. There was no impact on intensive care unit mortality, length of stay, duration of mechanical ventilation and ventilator-free days. Conclusion It is possible to measure the quality of physiotherapy care using indicators of quality control. The implementation of care protocols and training of the professionals can improve team performance. PMID:24770683

  8. Is a long-term high-intensity exercise program effective and safe in patients with rheumatoid arthritis? Results of a randomized controlled trial.

    NARCIS (Netherlands)

    Jong, Z. de; Munneke, M.; Zwinderman, A.H.; Kroon, H.M.; Jansen, A.; Ronday, K.H.; Schaardenburg, D. van; Dijkmans, B.A.C.; Ende, C.H.M. van den; Breedveld, F.C.; Vliet Vlieland, T.P.M.; Hazes, J.M.W.

    2003-01-01

    OBJECTIVE: There are insufficient data on the effects of long-term intensive exercise in patients with rheumatoid arthritis (RA). We undertook this randomized, controlled, multicenter trial to compare the effectiveness and safety of a 2-year intensive exercise program (Rheumatoid Arthritis Patients

  9. Varying Treatment Intensity in a Home-Based Parent and Child Therapy Program for Families Living in Poverty: A Randomized Clinic Trial

    Science.gov (United States)

    Carrasco, Jennifer M.; Fox, Robert A.

    2012-01-01

    This study addressed the question of whether increasing the intensity of a parent and child therapy program would improve results for young children with significant behavior problems from families living in poverty. Children were randomly assigned to either a standard condition or an intensity condition that provided 50% more treatment over a…

  10. Open-Framework Germanates and Nickel Germanates : Synthesis and Characterization

    OpenAIRE

    Huang, Shiliang

    2012-01-01

    Microporous materials have a wide range of important applications in separation, gas adsorption, ion-exchange and catalysis. Open-framework germanates are a family of microporous compounds and are of particular interest. This thesis focuses on the synthesis and characterization of new open-framework germanates as well as introducing the transition-metal nickel into germanate structures. One new microporous germanosilicate, SU-78 and four new open-framework germanates, SU-74, SU-75, SU-69 and ...

  11. Investment risk evaluation techniques: use in energy-intensive industries and implications for ERDA's Industrial Conservation Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    1977-07-13

    The trade-off between risk and rate-of-return in investment evaluations is crucial in assessing the commercial potential of future energy-conservation technologies. The focus of the Industrial Conservation Program at ERDA is to reduce the perceived risks of a given technology to the extent that the private sector will adopt the technology within the normal course of its business operations. These perceived risks may emanate from technical, institutional, or commercial uncertainties, or in many cases they may result merely from a company's or industry's lack of previous experience with a particular technology. Regardless of the source of the risk surrounding a project, the uncertainty it poses to the private sector will serve to inhibit decisions to invest. This study evaluates the treatment of risk in capital investments in certain energy-intensive industries which are the primary targets of ERDA's Industrial Conservation Program. These risks evaluation considerations were placed within a context that includes capital budgeting practices and procedures, organizational considerations, and basic rate-of-return evaluation procedures in the targeted energy-intensive industries (petroleum, chemicals, paper, textiles, cement, food processing, aluminum, steel, glass, and agriculture).

  12. A Controlled and Retrospective Study of 144 Chronic Low Back Pain Patients to Evaluate the Effectiveness of an Intensive Functional Restoration Program in France

    OpenAIRE

    Isabelle Caby; Nicolas Olivier; Frédérick Janik; Jacques Vanvelcenaher; Patrick Pelayo

    2016-01-01

    Study Design: A controlled and retrospective study of 144 chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program in France. Objective: Evaluating the efficiency of an intensive, dynamic and multidisciplinary functional restoration program in patients with chronic low back pain (LBP), during 6 and 12 months follow up. Summary of background data: Chronic low back pain disease has a multifactor nature, involving physical, psychological profess...

  13. On German Unity 1

    African Journals Online (AJOL)

    of Eastern European countries against the communist hegemony put increasing pressure on the Soviet Union that ... The preamble of the Basic Law of the Federal Republic of Germany stipulates that. "the entire German .... its troops from the erstwhile GDR and for the construction of housing in the Soviet Union to house the ...

  14. Validation of a Cross-Infection Control Program in an Understaffed Intensive Care Unit.

    Science.gov (United States)

    Frenkel, Amit; Borer, Abraham; Roy-Shapira, Aviel; Brotfain, Evgeni; Koyfman, Leonid; Saidel-Odes, Lisa; Adina, Alir; Klein, Moti

    2017-10-01

    The authors describe a multifaceted cross-infection control program that was implemented to contain an epidemic of multidrug-resistant microorganisms (MRO) (carbapenem resistant Pseudomonas aeruginosa and Acinetobacter baumannii; extended spectrum β-lactamase producing Klebsiella pneumoniae, Escherichia coli, Enterobacter Cloacae, and Proteus mirabilis; and ‎methicillin-resistant Staphylococcus aureus and Candida species). To assess the effect of a control program on the incidence of cross-infection with MRO. Clinical criteria triaged patients into a high-risk wing (HRW) or a low-risk wing (LRW). Strict infection control measures were enforced; violations led to group discussions (not recorded). Frequent cultures were obtained, and use of antibiotics was limited. Each quarter, the incidence of MRO isolation was reported to all staff members. Over a 6 year period, 1028 of 3113 patients were placed in the HRW. The incidence of MRO isolation within 48 hours of admission was 8.7% (HRW) vs. 1.91% (LRW) (P < 0.001). Acquired MRO infection density was 30.4 (HRW) vs. 15.6 (LRW) (P < 0.009). After the second year, the incidence of group discussions dropped from once or twice a month to once or twice a year. These measures contained epidemics. Clinical criteria successfully triaged HRW from LRW patients and reduced cross-infection between the medical center wings. The quarterly reports of culture data were associated with improved staff compliance. MRO epidemic control with limited resources is feasible.

  15. A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting

    Directory of Open Access Journals (Sweden)

    Caserta Raquel A

    2012-09-01

    Full Text Available Abstract Background Ventilator-associated pneumonia (VAP is a common infection in the intensive care unit (ICU and associated with a high mortality. Methods A quasi-experimental study was conducted in a medical-surgical ICU. Multiple interventions to optimize VAP prevention were performed from October 2008 to December 2010. All of these processes, including the Institute for Healthcare Improvement’s (IHI ventilator bundle plus oral decontamination with chlorhexidine and continuous aspiration of subglottic secretions (CASS, were adopted for patients undergoing mechanical ventilation. Results We evaluated a total of 21,984 patient-days, and a total of 6,052 ventilator-days (ventilator utilization rate of 0.27. We found VAP rates of 1.3 and 2.0 per 1,000 ventilator days respectively in 2009 and 2010, achieving zero incidence of VAP several times during 12 months, whenever VAP bundle compliance was over 90%. Conclusion These results suggest that it is possible to reduce VAP rates to near zero and sustain these rates, but it requires a complex process involving multiple performance measures and interventions that must be permanently monitored.

  16. Attentional bias in adolescents with panic disorder: changes over an 8-day intensive treatment program.

    Science.gov (United States)

    Wiener, Courtney; Perloe, Alexandra; Whitton, Sarah; Pincus, Donna

    2012-03-01

    The present study evaluated attentional bias in adolescents diagnosed with panic disorder. Although a large body of research exists in the area of attentional bias in adults, this feature of panic disorder is not well understood in adolescents. Twenty-five adolescents, aged 12-17, with a panic disorder diagnosis were included in the study. An emotional Stroop task was utilized to assess whether: (1) adolescents with panic disorder exhibit an attentional bias to panic-relevant stimuli; (2) this bias diminishes after completing a course of CBT; and (3) a specific attentional bias towards disorder-relevant stimuli exists. An attentional bias to panic-relevant stimuli was found at pre-treatment but was no longer present following an intensive CBT intervention. Contrary to some findings in the adult literature, no significant differences were found between panic-relevant versus other threatening stimuli. These results suggest that adolescents with panic disorder, similar to adults, do exhibit an attentional bias towards panic-relevant stimuli, and treatment seems to normalize this cognitive process.

  17. rFRET: A comprehensive, Matlab-based program for analyzing intensity-based ratiometric microscopic FRET experiments.

    Science.gov (United States)

    Nagy, Peter; Szabó, Ágnes; Váradi, Tímea; Kovács, Tamás; Batta, Gyula; Szöllősi, János

    2016-04-01

    Fluorescence or Förster resonance energy transfer (FRET) remains one of the most widely used methods for assessing protein clustering and conformation. Although it is a method with solid physical foundations, many applications of FRET fall short of providing quantitative results due to inappropriate calibration and controls. This shortcoming is especially valid for microscopy where currently available tools have limited or no capability at all to display parameter distributions or to perform gating. Since users of multiparameter flow cytometry usually apply these tools, the absence of these features in applications developed for microscopic FRET analysis is a significant limitation. Therefore, we developed a graphical user interface-controlled Matlab application for the evaluation of ratiometric, intensity-based microscopic FRET measurements. The program can calculate all the necessary overspill and spectroscopic correction factors and the FRET efficiency and it displays the results on histograms and dot plots. Gating on plots and mask images can be used to limit the calculation to certain parts of the image. It is an important feature of the program that the calculated parameters can be determined by regression methods, maximum likelihood estimation (MLE) and from summed intensities in addition to pixel-by-pixel evaluation. The confidence interval of calculated parameters can be estimated using parameter simulations if the approximate average number of detected photons is known. The program is not only user-friendly, but it provides rich output, it gives the user freedom to choose from different calculation modes and it gives insight into the reliability and distribution of the calculated parameters. © 2016 International Society for Advancement of Cytometry. © 2016 International Society for Advancement of Cytometry.

  18. High-intensity interval training, solutions to the programming puzzle. Part II: anaerobic energy, neuromuscular load and practical applications.

    Science.gov (United States)

    Buchheit, Martin; Laursen, Paul B

    2013-10-01

    High-intensity interval training (HIT) is a well-known, time-efficient training method for improving cardiorespiratory and metabolic function and, in turn, physical performance in athletes. HIT involves repeated short (high-intensity exercise interspersed with recovery periods (refer to the previously published first part of this review). While athletes have used 'classical' HIT formats for nearly a century (e.g. repetitions of 30 s of exercise interspersed with 30 s of rest, or 2-4-min interval repetitions ran at high but still submaximal intensities), there is today a surge of research interest focused on examining the effects of short sprints and all-out efforts, both in the field and in the laboratory. Prescription of HIT consists of the manipulation of at least nine variables (e.g. work interval intensity and duration, relief interval intensity and duration, exercise modality, number of repetitions, number of series, between-series recovery duration and intensity); any of which has a likely effect on the acute physiological response. Manipulating HIT appropriately is important, not only with respect to the expected middle- to long-term physiological and performance adaptations, but also to maximize daily and/or weekly training periodization. Cardiopulmonary responses are typically the first variables to consider when programming HIT (refer to Part I). However, anaerobic glycolytic energy contribution and neuromuscular load should also be considered to maximize the training outcome. Contrasting HIT formats that elicit similar (and maximal) cardiorespiratory responses have been associated with distinctly different anaerobic energy contributions. The high locomotor speed/power requirements of HIT (i.e. ≥95 % of the minimal velocity/power that elicits maximal oxygen uptake [v/p(·)VO(2max)] to 100 % of maximal sprinting speed or power) and the accumulation of high-training volumes at high-exercise intensity (runners can cover up to 6-8 km at v(·)VO(2max) per

  19. Effect of Intensive Physician Oversight on a Prehospital Rapid Sequence Induction Program

    Science.gov (United States)

    Cushman, Jeremy T.; Hettinger, A. Zachary; Farney, Aaron; Shah, Manish N.

    2010-01-01

    Objective To examine the effects of adding close concurrent and retrospective physician oversight, consistent with NAEMSP recommendations, to an existing regional prehospital rapid sequence induction (RSI) program. Methods This study involved a retrospective cohort of patients receiving RSI between January 1st, 2004 and July 31st, 2008. On January 1st, 2007 an updated program including additional concurrent and retrospective physician oversight, increased RSI specific continuing medical education, and cadaver lab training was implemented. Study patients were divided into pre- (1) and post- (2) intervention groups based on date of medical care. Data regarding baseline characteristics, airway management, medication usage, and performance factors were compared between groups. A retrospective review by two EMS physicians assessed if the RSI was “clearly indicated” based on a predetermined set of criteria Results There were 109 RSIs performed in Group 1, and 54 in Group 2. Absolute increases in the use of both BLS (5%, p=0.02) and ALS (41%, p=0.001) airway techniques were observed. Increases in post-intubation administration of midazolam (30%, p=0.001) and morphine (24%, p=0.001), and decrease for vecuronium (−28%, p=0.001) were observed. The intubation success rate (92 vs. 94%) and frequency of recognized esophageal ETT placement (5 vs. 6%) were not statistically different. The number of unrecognized esophageal ETT placements remained zero. Physician chart review demonstrated an absolute increase in “clearly indicated” RSIs (17%, p=0.013). Conclusions Close concurrent and retrospective physician oversight consistent with recommendations from the National Association of EMS Physicians is associated with improved cognitive skills in paramedics, including appropriate patient selection for RSI. Further research is warranted to validate this model and optimize where resources are best used to enhance patient safety and improve clinical management for this

  20. German Jewish Intellectuals and the German Occupation of Belgium

    Directory of Open Access Journals (Sweden)

    Ulrich Wyrwa

    2016-10-01

    Full Text Available In August 1914 the majority of German Jews expressed their patriotic approval of the war and their loyalty to the German state. They identified with Germany, and a large number signed up voluntarily for military service at the front. The Jewish population in Germany affirmed the war not least because it was directed against Russia, the harshest adversary of the Jews. This paper concentrates on the first acts of war conducted by the German military forces during the German occupation of Belgium; it examines whether and in what way German-Jewish Intellectuals perceived Germany’s violation of Belgian neutrality and the new feature of war as a war against a civilian population. The first part examines autobiographical sources to reconstruct the experiences and the perception of German Jewish soldiers, German military rabbis, and other German Jewish witnesses to the war. The second part then analyzes the coverage of German Jewish newspapers regarding the warfare against Belgium; and, finally, the third and last part scrutinizes the commentaries of German Jewish intellectuals and socialist Jews [Jewish socialists?] regarding the German war against Belgium.

  1. Short-term high intensity plyometric training program improves strength, power and agility in male soccer players.

    Science.gov (United States)

    Váczi, Márk; Tollár, József; Meszler, Balázs; Juhász, Ivett; Karsai, István

    2013-03-01

    The aim of the present study was to investigate the effects of a short-term in-season plyometric training program on power, agility and knee extensor strength. Male soccer players from a third league team were assigned into an experimental and a control group. The experimental group, beside its regular soccer training sessions, performed a periodized plyometric training program for six weeks. The program included two training sessions per week, and maximal intensity unilateral and bilateral plyometric exercises (total of 40 - 100 foot contacts/session) were executed. Controls participated only in the same soccer training routine, and did not perform plyometrics. Depth vertical jump height, agility (Illinois Agility Test, T Agility Test) and maximal voluntary isometric torque in knee extensors using Multicont II dynamometer were evaluated before and after the experiment. In the experimental group small but significant improvements were found in both agility tests, while depth jump height and isometric torque increments were greater. The control group did not improve in any of the measures. Results of the study indicate that plyometric training consisting of high impact unilateral and bilateral exercises induced remarkable improvements in lower extremity power and maximal knee extensor strength, and smaller improvements in soccer-specific agility. Therefore, it is concluded that short-term plyometric training should be incorporated in the in-season preparation of lower level players to improve specific performance in soccer.

  2. Short-Term High Intensity Plyometric Training Program Improves Strength, Power and Agility in Male Soccer Players

    Science.gov (United States)

    Váczi, Márk; Tollár, József; Meszler, Balázs; Juhász, Ivett; Karsai, István

    2013-01-01

    The aim of the present study was to investigate the effects of a short-term in-season plyometric training program on power, agility and knee extensor strength. Male soccer players from a third league team were assigned into an experimental and a control group. The experimental group, beside its regular soccer training sessions, performed a periodized plyometric training program for six weeks. The program included two training sessions per week, and maximal intensity unilateral and bilateral plyometric exercises (total of 40 – 100 foot contacts/session) were executed. Controls participated only in the same soccer training routine, and did not perform plyometrics. Depth vertical jump height, agility (Illinois Agility Test, T Agility Test) and maximal voluntary isometric torque in knee extensors using Multicont II dynamometer were evaluated before and after the experiment. In the experimental group small but significant improvements were found in both agility tests, while depth jump height and isometric torque increments were greater. The control group did not improve in any of the measures. Results of the study indicate that plyometric training consisting of high impact unilateral and bilateral exercises induced remarkable improvements in lower extremity power and maximal knee extensor strength, and smaller improvements in soccer-specific agility. Therefore, it is concluded that short-term plyometric training should be incorporated in the in-season preparation of lower level players to improve specific performance in soccer. PMID:23717351

  3. Developing cross-sectoral quality assurance for cataract surgery in the statutory quality assurance program of the German health care system: Experiences and lessons learned.

    Science.gov (United States)

    Bramesfeld, Anke; Pauletzki, Jürgen; Behrenz, Lars; Szecsenyi, Joachim; Willms, Gerald; Broge, Björn

    2015-08-01

    Since 2001, statutory external quality assurance (QA) for hospital care has been in place in the German health system. In 2009, the decision was taken to expand it to cross-sectoral procedures. This novel and unprecedented form of national QA aims at (1) making the quality procedures comparable that are provided both in inpatient and outpatient care, (2) following-up outcomes of hospital care after patients' discharge and (3) measuring the quality of complex treatment chains across interfaces. As a pioneer procedure a QA procedure in cataract surgery QA was developed. Using this as an example, challenges of cross-sectoral QA are highlighted. These challenges relate, in particular, to three technical problems: triggering cases for documentation, following-up patients' after hospital discharge, and the burden of documentation in outpatient care. These problems resulted finally in the haltering of the development of the QA procedure. However, the experiences gained with this first development of cross-sectoral QA inspired the reorientation and further development of the field in Germany. Future cross-sectoral QA will rigorously aim at keeping burden of documentation small. It will draw data for QA mainly at three sources: routine data, patient surveys and peer reviews using indicators. Policy implications of this reorientation are discussed. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. The German-Americans: A Course Proposal

    Science.gov (United States)

    Rippley, LaVern J.

    1976-01-01

    The German-American culture course outlined here covers German immigration to the U. S.; German-Americans in the Civil War; religion; schools; German contributions to theater, art and music; Germans in industry and science, and German-Americans in World Wars I and II. Projects involve newspapers, church records, literature, and handbooks. (CHK)

  5. The impact of an intensive yearlong staff development program on science teachers' perceptions of pedagogical change

    Science.gov (United States)

    Hueni, Joneen A. Stone

    The purpose of this study was to increase the understanding of how teachers perceive their implementation of pedagogical change during and after their involvement in a yearlong staff development project in the Rice Model Lab (RML). The following questions were used to guide the inquiry: (1) How do participants of the RML describe their involvement with pedagogical change? (2) How do participants of the RML perceive their ability to handle a different pedagogical approach to classroom instruction? (3) How do participants describe their usage of different pedagogical approaches once they leave the RML and return to their own classrooms? The RML is a joint venture between Rice University and the Houston Independent School District. Annually, eight middle school science teachers spend a year's sabbatical in the RML engaged in learning about educational research and pedagogy. The teachers have opportunities to prepare and teach lessons to one class using their new knowledge and skills. Operational for seven years, the RML was chosen as the context and provided the fifteen participants. Participants chosen included previous and current RML program members with varying amounts of teaching experience. This inquiry was an ethnographic study in which the participants responded to open-ended questions about their experiences with pedagogical change. Data, collected during the 1997--1998 school year, included formal and informal interviews; portfolio and reflective journal entries; and observations of group interactions during meetings, social events, workshops, and activities at the RML. The collected data were analyzed by the qualitative procedures of unitization and constant comparative methods to reveal categories of similarity. The categories of collaboration, learner-centered instruction, grounding in classroom practice, feelings of stress, time, support, and increased content knowledge emerged from the analysis of unitized data. The emergent categories interlocked with

  6. Is Full Day Better than Half Day? A Propensity Score Analysis of the Association between Head Start Program Intensity and Children's School Performance in Kindergarten

    Science.gov (United States)

    Leow, Christine; Wen, Xiaoli

    2017-01-01

    Research Findings: This study used data from a national sample to examine differences in school outcomes at the end of kindergarten between Head Start children who attended full-day and half-day programs. Propensity scores were used to match children who experienced different intensities of the program on a series of demographic characteristics in…

  7. Demand Response Programs Design and Use Considering Intensive Penetration of Distributed Generation

    Directory of Open Access Journals (Sweden)

    Pedro Faria

    2015-06-01

    Full Text Available Further improvements in demand response programs implementation are needed in order to take full advantage of this resource, namely for the participation in energy and reserve market products, requiring adequate aggregation and remuneration of small size resources. The present paper focuses on SPIDER, a demand response simulation that has been improved in order to simulate demand response, including realistic power system simulation. For illustration of the simulator’s capabilities, the present paper is proposes a methodology focusing on the aggregation of consumers and generators, providing adequate tolls for the demand response program’s adoption by evolved players. The methodology proposed in the present paper focuses on a Virtual Power Player that manages and aggregates the available demand response and distributed generation resources in order to satisfy the required electrical energy demand and reserve. The aggregation of resources is addressed by the use of clustering algorithms, and operation costs for the VPP are minimized. The presented case study is based on a set of 32 consumers and 66 distributed generation units, running on 180 distinct operation scenarios.

  8. How old are Germanic lambs?

    DEFF Research Database (Denmark)

    Vrieland, Seán D.

    2017-01-01

    Gothic and Gutnish lamb with the meaning ‘sheep’ sets these two languages apart from the rest of Germanic, and is the most common piece of evidence used to claim they share a close connection. Yet the same meaning is found in the descendants of Proto-Fennic *lambaz, a loan from Proto-Germanic, an......-Germanic, and speaks for Gothic and Gutnish preserving the original Proto-Germanic meaning of the etymon. These semantics provide a missing link for connecting Pro-to-Germanic *lambiz- with PIE *h₁él-n-/*h₁l-ón- ‘red deer’....

  9. High-Intensity Interval Training for Overweight Adolescents: Program Acceptance of a Media Supported Intervention and Changes in Body Composition.

    Science.gov (United States)

    Herget, Sabine; Reichardt, Sandra; Grimm, Andrea; Petroff, David; Käpplinger, Jakob; Haase, Michael; Markert, Jana; Blüher, Susann

    2016-11-08

    High-intensity interval training (HIIT) consists of short intervals of exercise at high intensity intermitted by intervals of lower intensity and is associated with improvement of body composition and metabolic health in adults. Studies in overweight adolescents are scarce. We conducted a randomized controlled trial in overweight adolescents to compare acceptance and attendance of HIIT with or without weekly motivational encouragement through text messages and access to a study website. HIIT was offered for six months (including summer vacation) twice a week (60 min/session). Participation rates were continuously assessed and acceptance was measured. Clinical parameters were assessed at baseline and after six months. Twenty-eight adolescents participated in this study (age 15.5 ± 1.4; 54% female). The standard deviation score for body mass index over all participants was 2.33 at baseline and decreased by 0.026 (95% CI -0.048 to 0.10) units, p = 0.49. Waist to height ratio was 0.596 at baseline and decreased by 0.013 (95% CI 0.0025 to 0.024), p = 0.023. Participation within the first two months ranged from 65% to 75%, but fell to 15% within the last three months. Attendance in the intervention group was 14% (95% CI -8 to 37), p = 0.18, higher than the control group. Overall program content was rated as "good" by participants, although high drop-out rates were observed. Summer months constitute a serious problem regarding attendance. The use of media support has to be assessed further in appropriately powered trials.

  10. High-Intensity Interval Training for Overweight Adolescents: Program Acceptance of a Media Supported Intervention and Changes in Body Composition

    Directory of Open Access Journals (Sweden)

    Sabine Herget

    2016-11-01

    Full Text Available High-intensity interval training (HIIT consists of short intervals of exercise at high intensity intermitted by intervals of lower intensity and is associated with improvement of body composition and metabolic health in adults. Studies in overweight adolescents are scarce. We conducted a randomized controlled trial in overweight adolescents to compare acceptance and attendance of HIIT with or without weekly motivational encouragement through text messages and access to a study website. HIIT was offered for six months (including summer vacation twice a week (60 min/session. Participation rates were continuously assessed and acceptance was measured. Clinical parameters were assessed at baseline and after six months. Twenty-eight adolescents participated in this study (age 15.5 ± 1.4; 54% female. The standard deviation score for body mass index over all participants was 2.33 at baseline and decreased by 0.026 (95% CI −0.048 to 0.10 units, p = 0.49. Waist to height ratio was 0.596 at baseline and decreased by 0.013 (95% CI 0.0025 to 0.024, p = 0.023. Participation within the first two months ranged from 65% to 75%, but fell to 15% within the last three months. Attendance in the intervention group was 14% (95% CI −8 to 37, p = 0.18, higher than the control group. Overall program content was rated as “good” by participants, although high drop-out rates were observed. Summer months constitute a serious problem regarding attendance. The use of media support has to be assessed further in appropriately powered trials.

  11. Comparative study of irradiated and hydrogen implantation damaged German RPV steels from PAS point of view

    Energy Technology Data Exchange (ETDEWEB)

    Pecko, Stanislav, E-mail: stanislav.pecko@stuba.sk; Sojak, Stanislav; Slugeň, Vladimír

    2014-09-01

    Highlights: • We used positron annihilation spectroscopy to study German RPV steels. • We examine microstructural changes in the studied specimens. • Simulation of neutron irradiation was performed by hydrogen ion implantation. • No large voids or vacancy clusters were formed due to irradiation or implantation. - Abstract: Commercial German reactor pressure vessel (RPV) steels were studied by positron annihilation lifetime spectroscopy (PALS). This unique non-destructive method can be effectively applied for the evaluation of microstructural changes and for the analysis of degradation of reactor steels due to neutron irradiation and proton implantation. Studied specimens of German reactor pressure vessel steels are originally from CARINA/CARISMA program. Eight specimens were measured in as-received state and two specimens were irradiated by neutrons in German experimental reactor VAK (Versuchsatomkraftwerk Kahl) in the 1980s. One of the specimens which was also in as-received and neutron irradiated condition was also used for simulation of neutron damage by hydrogen nuclei implantation. Defects with the size of about 1–2 vacancies with relatively small contribution (with intensity on the level of 20–40%) were observed in “as-received” steels. A significant increase in the size of the induced defects due to neutron damage was observed at a level of 2–3 vacancies in the irradiated specimens. The size and intensity of defects reached a similar level as in the specimens irradiated in nuclear reactor due to hydrogen ions implantation with energy of 100 keV (up to the depth <500 nm). This could confirm the ability to simulate neutron damage by ion implantation.

  12. Dual Language Learning / Duale Spracherlernung. Learning German through English

    Directory of Open Access Journals (Sweden)

    Fee-Alexandra Haase

    2014-07-01

    Full Text Available In this article we examine the impact of English in the learning process of the German language exemplified with the example of the second language acquisition process of the German language in the programs of German in the Department of Foreign Languages of the University of Nizwa in Oman. This study focuses on the distinct features of students in Oman learning German as a second language in an institution of higher education in Oman. The contrastive rhetoric of a German – Oman Arabic language contact situation is challenging and a unique field of research, which allows us to study the process of foreign language learning (L2 and the implementation of the culture of the native language L1 (Arabic. The reflection of the L1 culture, the Arab Oman culture, in the language learning process of the L2 language (German will be described, analyzed and discussed aiming the improvement of the L2 learning process. This article investigates into the process of learning German in an Arabic country of native speakers of Arabic from the perspective of the cultural differences of both cultures in terms of their linguistic prepositions.Received: 17/09/2013 / Accepted: 23/11/2013How to reference this articleHaase, F-A. (2014. Dual Language Learning / Duale Spracherlernung. Learning German through English. Foro de Educación, 12(17, pp. 197-216. doi: http://dx.doi.org/10.14516/fde.2014.012.017.010

  13. School of German Language

    Directory of Open Access Journals (Sweden)

    Sergei V. Evteev

    2014-01-01

    Full Text Available Department of German is one of the oldest language departments at MGIMO. Since its foundation in 1944 the military experienced teachers of the department, most of whom were native speakers, have begun to develop a unique method of teaching the German language, thereby revolutionize learning this foreign language. The first steps made under the supervision of the Department of Antonina V. Celica. The department refused to conventional time and is still used in universities such as the Moscow Linguistic University, separate teaching phonetics, grammar and vocabulary, which was due to the specific objectives set for the teaching staff: prepare for short term specialists in international relations, active Germanspeaking. The department can be proud of its graduates, many of whom continue his career in the walls of native high school. Many graduates have dedicated their lives to serving the State in the Ministry of Foreign Affairs.

  14. Analog Exercise Hardware to Implement a High Intensity Exercise Program During Bed Rest

    Science.gov (United States)

    Loerch, Linda; Newby, Nate; Ploutz-Snyder, Lori

    2012-01-01

    Background: In order to evaluate novel countermeasure protocols in a space flight analog prior to validation on the International Space Station (ISS), NASA's Human Research Program (HRP) is sponsoring a multi-investigator bedrest campaign that utilizes a combination of commercial and custom-made exercise training hardware to conduct daily resistive and aerobic exercise protocols. This paper will describe these pieces of hardware and how they are used to support current bedrest studies at NASA's Flight Analog Research Unit in Galveston, TX. Discussion: To implement candidate exercise countermeasure studies during extended bed rest studies the following analog hardware are being utilized: Stand alone Zero-Gravity Locomotion Simulator (sZLS) -- a custom built device by NASA, the sZLS allows bedrest subjects to remain supine as they run on a vertically-oriented treadmill (0-15 miles/hour). The treadmill includes a pneumatic subject loading device to provide variable body loading (0-100%) and a harness to keep the subject in contact with the motorized treadmill to provide a ground reaction force at their feet that is quantified by a Kistler Force Plate. Supine Cycle Ergometer -- a commercially available supine cycle ergometer (Lode, Groningen, Netherlands) is used for all cycle ergometer sessions. The ergometer has adjustable shoulder supports and handgrips to help stabilize the subject during exercise. Horizontal Squat Device (HSD) -- a custom built device by Quantum Fitness Corp (Stafford, TX), the HSD allows for squat exercises to be performed while lying in a supine position. The HSD can provide 0 to 600 pounds of force in selectable 5 lb increments, and allows hip translation in both the vertical and horizontal planes. Prone Leg Curl -- a commercially available prone leg curl machine (Cybex International Inc., Medway, MA) is used to complete leg curl exercises. Horizontal Leg Press -- a commercially available horizontal leg press (Quantum Fitness Corporation) is

  15. Increasing physical activity for veterans in the Mental Health Intensive Case Management Program: A community-based intervention.

    Science.gov (United States)

    Harrold, S Akeya; Libet, Julian; Pope, Charlene; Lauerer, Joy A; Johnson, Emily; Edlund, Barbara J

    2017-08-01

    Individuals with severe mental illness (SMI), experience increased mortality-20 years greater disparity for men and 15 years greater disparity for women-compared to the general population (Thornicroft G. Physical health disparities and mental illness: The scandal of premature mortality. Br J Psychiatr. 2011;199:441-442). Numerous factors contribute to premature mortality in persons with SMI, including suicide and accidental death (Richardson RC, Faulkner G, McDevitt J, Skrinar GS, Hutchinson D, Piette JD. Integrating physical activity into mental health services for persons with serious mental illness. Psychiatr Serv. 2005;56(3):324-331; Thornicroft G. Physical health disparities and mental illness: The scandal of premature mortality. Br J Psychiatr. 2011;199:441-442), but research has shown that adverse health behaviors-including smoking, low rate of physical activity, poor diet, and high alcohol consumption-also significantly contribute to premature deaths (Jones J. Life expectancy in mental illness. Psychiatry Services. 2010. Retrieved from http://psychcentral.com/news/2010/07/13/life-expectancy-in-mental-illness). This quality improvement (QI) project sought to improve health and wellness for veterans in the Mental Health Intensive Case Management Program (MHICM), which is a community-based intensive program for veterans with SMI at risk for decompensation and frequent hospitalizations. At the time of this QI project, the program had 69 veterans who were assessed and treated weekly in their homes. The project introduced a pedometer steps intervention adapted from the VA MOVE! Program-a physical activity and weight management program-with the addition of personalized assistance from trained mental health professionals in the veteran's home environment. Because a large percentage of the veterans in the MHICM program had high blood pressure and increased weight, these outcomes were the focus of this project. Through mental health case management involvement and

  16. German War Gaming

    Science.gov (United States)

    2012-07-01

    tested was given by the director of the game; a specific episode was gamed, so that participants could acquire a picture of the combat situation. The... Saxony . Germany had available twelve divisions and several cavalry units. The Germans would be able to deploy six additional divisions to the west- ern...work by team leaders. The director was to maintain during game play a clear picture of the decisions of team leaders, their basis, and the resulting

  17. [DEVELOPMENTAL CARE IN THE NEONATAL INTENSIVE CARE UNIT ACCORDING TO NEWBORN INDIVIDUALIZED DEVELOPMENTAL CARE AND ASSESSMENT PROGRAM (NIDCAP)].

    Science.gov (United States)

    Silberstein, Dalia; Litmanovitz, Ita

    2016-01-01

    During hospitalization in the neonatal intensive care unit (NICU), the brain of the preterm infant undergoes a particularly vulnerable and sensitive period of development. Brain development might be negatively influenced by direct injury as well as by complications of prematurity. Over the past few years, stress has come to be increasingly recognized as a potential risk factor. The NICU environment contains numerous stress factors due to maternal deprivation and over-stimulation, such as light, sound and pain, which conflict with the brain's developmental requirements. Developmental care is a caregiving approach that addresses the early developmental needs of the preterm infant as an integral component of quality neonatal care. NIDCAP (Newborn Individualized Developmental Care and Assessment Program) is a comprehensive program that aims to reduce environmental stress, to support the infant's neuro-behavioral maturation and organization, and to promote early parent-infant relationships. The implementation of developmental care based on NIDCAP principles is a gradual, in-depth systems change process, which affects all aspects of care in the NICU. This review describes the theoretical basis of the NIDCAP approach, summarizes the scientific evidence and addresses some of the implications of the transition from a traditional to a developmental care NICU.

  18. [German ophthalmologists and NSDAP

    Science.gov (United States)

    Rohrbach, Jens Martin

    2008-01-01

    Approximately 40-45 % of all German physicians joined the National Socialist German Workers Party (NSDAP) until 1945. Reasons for party membership are manifold and still a matter of debate. Very likely, the extraordinary high representation of medical doctors in the NSDAP was rather a result of active entry than recruitment by the party. There are only few data concerning the willingness of ophthalmologists to become a party member ("Parteigenosse", "Pg"). According to the list of University teachers in Germany ("Hochschullehrerkarte"; Federal Archive, Berlin), the list of the members of the German Ophthalmological Society (DOG) of 1934 and especially the list of NSDAP-members (Federal Archive, Berlin) the following conclusions can be drawn: 1. Directors of German University eye hospitals (chairmen) were members of the NSDAP with a frequency of 23% in 1933 and 48% in 1938 as well as in 1943. The motivation for joining the party was most likely the perspective of acceleration of the academic career. 2. "Only" 30% of the ophthalmologists working in private praxis were "Pg" (until 1945). 3. Both chairmen and ophthalmologists in private praxis were equally hindered to join the NSDAP between May 1st 1933 and May 1st 1937 when the party temporarily stopped registration. 4. The majority of ophthalmologists who joined the NSDAP were born between 1880 and 1900 and thus had taken part in World War I as soldiers or had experienced the times of need after WW I. Only few ophthalmologists succeeded in the NS-hierarchy and probably only one ophthalmologist, Walther Löhlein from Berlin, came in personal contact with Adolf Hitler who was constantly in fear for his sight after his eye injury in October 1918. The "Law for the prevention of genetically disabled offsprings" ("Gesetz zur Verhütung erbkranken Nachwuchses") from July 14th, 1933 separated ophthalmologists into two parties: those advocating sterilization to a high degree and those recommending sterilization only

  19. First and Second Language Acquisition in German Children Attending a Kindergarten Immersion Program: A Combined Longitudinal and Cross-Sectional Study

    Science.gov (United States)

    Bergström, Kirstin; Klatte, Maria; Steinbrink, Claudia; Lachmann, Thomas

    2016-01-01

    This study investigated first (L1) and second (L2) language acquisition in two age-matched groups of 2- to 6-year-old kindergarten children over the course of 2.5 years. The immersion group participated in a partial English immersion program whereas the conventional instruction group received a conventional L2 course (30 minutes per week); the…

  20. Urban Green Infrastructure: German Experience

    Directory of Open Access Journals (Sweden)

    Diana Olegovna Dushkova

    2016-06-01

    Full Text Available The paper presents a concept of urban green infrastructure and analyzes the features of its implementation in the urban development programmes of German cities. We analyzed the most shared articles devoted to the urban green infrastructure to see different approaches to definition of this term. It is based on materials of field research in the cities of Berlin and Leipzig in 2014-2015, international and national scientific publications. During the process of preparing the paper, consultations have been held with experts from scientific institutions and Administrations of Berlin and Leipzig as well as local experts from environmental organizations of both cities. Using the German cities of Berlin and Leipzig as examples, this paper identifies how the concept can be implemented in the program of urban development. It presents the main elements of green city model, which include mitigation of negative anthropogenic impact on the environment under the framework of urban sustainable development. Essential part of it is a complex ecological policy as a major necessary tool for the implementation of the green urban infrastructure concept. This ecological policy should embody not only some ecological measurements, but also a greening of all urban infrastructure elements as well as implementation of sustainable living with a greater awareness of the resources, which are used in everyday life, and development of environmental thinking among urban citizens. Urban green infrastructure is a unity of four main components: green building, green transportation, eco-friendly waste management, green transport routes and ecological corridors. Experience in the development of urban green infrastructure in Germany can be useful to improve the environmental situation in Russian cities.

  1. Effects of a high-intensity intermittent training program on aerobic capacity and lipid profile in trained subjects.

    Science.gov (United States)

    Ouerghi, Nejmeddine; Khammassi, Marwa; Boukorraa, Sami; Feki, Moncef; Kaabachi, Naziha; Bouassida, Anissa

    2014-01-01

    Data regarding the effect of training on plasma lipids are controversial. Most studies have addressed continuous or long intermittent training programs. The present study evaluated the effect of short-short high-intensity intermittent training (HIIT) on aerobic capacity and plasma lipids in soccer players. The study included 24 male subjects aged 21-26 years, divided into three groups: experimental group 1 (EG1, n=8) comprising soccer players who exercised in addition to regular short-short HIIT twice a week for 12 weeks; experimental group 2 (EG2, n=8) comprising soccer players who exercised in a regular football training program; and a control group (CG, n=8) comprising untrained subjects who did not practice regular physical activity. Maximal aerobic velocity and maximal oxygen uptake along with plasma lipids were measured before and after 6 weeks and 12 weeks of the respective training program. Compared with basal values, maximal oxygen uptake had significantly increased in EG1 (from 53.3±4.0 mL/min/kg to 54.8±3.0 mL/min/kg at 6 weeks [P<0.05] and to 57.0±3.2 mL/min/kg at 12 weeks [P<0.001]). Maximal oxygen uptake was increased only after 12 weeks in EG2 (from 52.8±2.7 mL/min/kg to 54.2±2.6 mL/min/kg, [P<0.05]), but remain unchanged in CG. After 12 weeks of training, maximal oxygen uptake was significantly higher in EG1 than in EG2 (P<0.05). During training, no significant changes in plasma lipids occurred. However, after 12 weeks, total and low-density lipoprotein cholesterol levels had decreased (by about 2%) in EG1 but increased in CG. High-density lipoprotein cholesterol levels increased in EG1 and EG2, but decreased in CG. Plasma triglycerides decreased by 8% in EG1 and increased by about 4% in CG. Twelve weeks of short-short HIIT improves aerobic capacity. Although changes in the lipid profile were not significant after this training program, they may have a beneficial impact on health.

  2. The German drought monitor

    Science.gov (United States)

    Zink, Matthias; Samaniego, Luis; Kumar, Rohini; Thober, Stephan; Mai, Juliane; Schäfer, David; Marx, Andreas

    2016-07-01

    The 2003 drought event in Europe had major implications on many societal sectors, including energy production, health, forestry and agriculture. The reduced availability of water accompanied by high temperatures led to substantial economic losses on the order of 1.5 Billion Euros, in agriculture alone. Furthermore, soil droughts have considerable impacts on ecosystems, forest fires and water management. Monitoring soil water availability in near real-time and at high-resolution, i.e., 4 × 4 km2, enables water managers to mitigate the impact of these extreme events. The German drought monitor was established in 2014 as an online platform. It uses an operational modeling system that consists of four steps: (1) a daily update of observed meteorological data by the German Weather Service, with consistency checks and interpolation; (2) an estimation of current soil moisture using the mesoscale hydrological model; (3) calculation of a quantile-based soil moisture index (SMI) based on a 60 year data record; and (4) classification of the SMI into five drought classes ranging from abnormally dry to exceptional drought. Finally, an easy to understand map is produced and published on a daily basis on www.ufz.de/droughtmonitor. Analysis of the ongoing 2015 drought event, which garnered broad media attention, shows that 75% of the German territory underwent drought conditions in July 2015. Regions such as Northern Bavaria and Eastern Saxony, however, have been particularly prone to drought conditions since autumn 2014. Comparisons with historical droughts show that the 2015 event is amongst the ten most severe drought events observed in Germany since 1954 in terms of its spatial extent, magnitude and duration.

  3. Impact of an intensive care unit telemedicine program on patient outcomes in an integrated health care system.

    Science.gov (United States)

    Nassar, Boulos S; Vaughan-Sarrazin, Mary S; Jiang, Lan; Reisinger, Heather S; Bonello, Robert; Cram, Peter

    2014-07-01

    Intensive care unit (ICU) telemedicine (TM) programs have been promoted as improving access to intensive care specialists and ultimately improving patient outcomes, but data on effectiveness are limited and conflicting. To examine the impact of ICU TM on mortality rates and length of stay (LOS) in an integrated health care system. Observational pre-post study of patients treated in 8 "intervention" ICUs (7 hospitals within the US Department of Veterans Affairs health care system) during 2011-2012 that implemented TM monitoring during the post-TM period as well as patients treated in concurrent control ICUs that did not implement an ICU TM program. Implementation of ICU TM monitoring. Unadjusted and risk-adjusted ICU, in-hospital, and 30-day mortality rates and ICU and hospital LOS for patients who did or did not receive treatment in ICUs equipped with TM monitoring. Our study included 3355 patients treated in our intervention ICUs (1708 in the pre-TM period and 1647 in the post-TM period) and 3584 treated in the control ICUs during the same period. Patient demographics and comorbid illnesses were similar in the intervention and control ICUs during the pre-TM and post-TM periods; however, predicted ICU mortality rates were modestly lower for admissions to the intervention ICUs compared with control ICUs in both the pre-TM (3.0% vs 3.6%; P = .02) and post-TM (2.8% vs 3.5%; P day mortality rates or LOS in unadjusted or adjusted analyses. For example, unadjusted ICU mortality in the pre-TM vs post-TM periods were 2.9% vs 2.8% (P = .89) for the intervention ICUs and 4.0% vs 3.4% (P = .31) for the control ICUs. Unadjusted 30-day mortality during the pre-TM vs post-TM periods were 7.7% vs 7.8% (P = .91) for the intervention ICUs and 12.0% vs 10.2% (P = .08) for the control ICUs. Evaluation of interaction terms comparing the magnitude of mortality rate change during the pre-TM and post-TM periods in the intervention and control ICUs failed to

  4. Measuring the effectiveness of an intensive IPV training program offered to Greek general practitioners and residents of general practice.

    Science.gov (United States)

    Papadakaki, Maria; Petridou, Eleni; Kogevinas, Manolis; Lionis, Christos

    2013-03-28

    The need for effective training of primary care physicians in the prevention, detection and handling of intimate partner violence (IPV) has been widely acknowledged, given its frequency in daily practice. The current intervention study aimed to measure changes in the actual IPV knowledge, perceived knowledge, perceived preparedness and detection ability of practicing general practitioners (GPs) and general practice residents, following an intensive IPV training program. A pre/post-test design with a control group was employed to compare changes in baseline measures of IPV at the post intervention stage and at 12 months. A total of 40 participants provided full data; 25 GPs (11 in the intervention and 14 in the control) and 15 residents (intervention only). Three scales of the PREMIS survey were used to draw information on the study outcomes. The training program met high acceptance by both groups of participants and high practicality in clinical practice. The GPs in the intervention group performed better than the GPs in the control group on "Perceived preparedness" and "Perceived knowledge" in both the post-intervention (p= .012, r= .50 and p= .001, r= .68) and the 12-month follow-up (p= .024, r= .45 and p= .007, r= .54) as well as better than the residents in "Perceived preparedness" at post-intervention level (p= .037, r= .41). Residents on the other hand, performed better than the GPs in the intervention group on "Actual knowledge" at the 12-month follow-up (p= .012, r= .49). No significant improvements or between group differences were found in terms of the self-reported detection of IPV cases. Further studies are needed to decide whether residency training could serve as an early intervention stage for IPV training.

  5. Impact of Antimicrobial Stewardship program on Hospitalized Patients at the Intensive Care Unit: A prospective Audit and feedback Study.

    Science.gov (United States)

    Khdour, Maher R; Hallak, Hussein O; Al-Deyab, Mamoon; Nasif, Mowafq A; Khalili, Aliaa M; Dallashi, Ahamad A; Khofash, Mohammad B; Scott, Michael G

    2017-12-13

    Inappropriate use of antibiotics is one of the most important factors contributing to the emergence of drug resistant pathogens. The purpose of this study was to measure the clinical impact of Antimicrobial Stewardship Program (ASP) interventions on hospitalized patients at the Intensive care unit at Palestinian Medical Complex. A prospective audit with intervention and feedback by ASP team within 48-72h of antibiotic administration began in Sep, 2015. Four months of pre-ASP data with 4-months of post-ASP data were compared. Data collected included clinical and demographic data; utilization of antimicrobials measured by Define Daily Doses, duration of therapy, length of stay, readmission and all-cause mortality. Overall, 176 interventions were made the ASP team with an average acceptance rate of 78.4%. The most accepted interventions were dose optimization (87.0%) followed by de-escalation based on culture results with an acceptance rate of 84.4%. ASP interventions significantly reduces antimicrobial utilization by 24.3% (87.3 DDD/100 bed. vs 66.1 DDD/100 bed p<0.001). The median (IQR) of length of stay was significantly reduced post ASP (11 (3-21) vs. 7 (4-19) days; p <0.01). Also, the median (IQR) of duration of therapy was significantly reduced post-ASP (8 (5-12) days vs. 5 (3-9); p=0.01). There was no significant difference in overall 30-day mortality or readmission between the pre-ASP and post-ASP groups (26.9% vs. 23.9%; p=0.1) and (26.1% vs. 24.6%; p=0.54) respectively. Our prospective audit and feedback program was associated with positive impact on antimicrobial utilization, duration of therapy and length of stay. This article is protected by copyright. All rights reserved.

  6. Germanic-Slavic Hybrid Names in the East German Toponymy

    Directory of Open Access Journals (Sweden)

    Karlheinz Hengst

    2015-12-01

    Full Text Available The article focuses on the toponymy of the Eastern part of modern Germany where Slavic and Germanic tribes were in contact during several centuries: in the 7th century the Slavs ousted Germanic tribes from this territory; then, since the early 10th century, the area started being repopulated by the Germans, which led to a Slavic-Germanic bilingualism (by the 13th century the domination of the Germanic population became evident. The author argues that these ethnic and linguistic contacts are reflected in the borrowing of geographic names and terms, as well as in Germanic-Slavic “hybrid” place names that the author proposes to call hybridonyms. The Slavs readily borrowed Old Germanic (“Pre-German” toponyms, the hybridonyms bearing traces of the late Proto-Slavic language. The author thoroughly analyzes a number of hybrid place names (Borgishain, Jenz, Leipzig, Jenzig reducing them to one toponymic type consisting of a Germanic stem and Slavic suffixes. A large part of the paper discusses the terms hybrid and hybridization as applied to place names and seeks to theoretically substantiate the term hybridonym.

  7. A GPGPU based program to solve the TDSE in intense laser fields through the finite difference approach

    CERN Document Server

    Broin, Cathal Ó

    2013-01-01

    We present a General-purpose computing on graphics processing units (GPGPU) based computational program and framework for the electronic dynamics of atomic systems under intense laser fields. We present our results using the case of hydrogen, however the code is trivially extensible to tackle problems within the single-active electron (SAE) approximation. Building on our previous work, we introduce the first available GPGPU based implementation of the Taylor, Runge-Kutta and Lanczos based methods created with strong field ab-initio simulations specifically in mind; CLTDSE. The code makes use of finite difference methods and the OpenCL framework for GPU acceleration. The specific example system used is the classic test system; Hydrogen. After introducing the standard theory, and specific quantities which are calculated, the code, including installation and usage, is discussed in-depth. This is followed by some examples and a short benchmark between an 8 hardware thread (i.e logical core) Intel Xeon CPU and an ...

  8. Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units

    Directory of Open Access Journals (Sweden)

    Raymond M Khan

    2017-01-01

    Full Text Available Over the past decade, there have been major improvements to the care of mechanically ventilated patients (MVPs. Earlier initiatives used the concept of ventilator care bundles (sets of interventions, with a primary focus on reducing ventilator-associated pneumonia. However, recent evidence has led to a more comprehensive approach: The ABCDE bundle (Awakening and Breathing trial Coordination, Delirium management and Early mobilization. The approach of the Comprehensive Unit-based Safety Program (CUSP was developed by patient safety researchers at the Johns Hopkins Hospital and is supported by the Agency for Healthcare Research and Quality to improve local safety cultures and to learn from defects by utilizing a validated structured framework. In August 2015, 17 Intensive Care Units (ICUs (a total of 271 beds in eight hospitals in the Kingdom of Saudi Arabia joined the CUSP for MVPs (CUSP 4 MVP that was conducted in 235 ICUs in 169 US hospitals and led by the Johns Hopkins Armstrong Institute for Patient Safety and Quality. The CUSP 4 MVP project will set the stage for cooperation between multiple hospitals and thus strives to create a countrywide plan for the management of all MVPs in Saudi Arabia.

  9. Fifth French-German Conference on Optimization

    CERN Document Server

    1989-01-01

    The 2-yearly French-German Conferences on Optimization review the state-of-the-art and the trends in the field. The proceedings of the Fifth Conference include papers on projective methods in linear programming (special session at the conference), nonsmooth optimization, two-level optimization, multiobjective optimization, partial inverse method, variational convergence, Newton type algorithms and flows and on practical applications of optimization. A. Ioffe and J.-Ph. Vial have contributed survey papers on, respectively second order optimality conditions and projective methods in linear programming.

  10. Ecosystem Studies within the German network TERENO

    Science.gov (United States)

    Rebmann, Corinna; Cuntz, Matthias; Drüe, Clemens; Graf, Alexander; Mauder, Matthias; Schmidt, Marius; Schmid, Hans Peter; Sachs, Torsten; Steinbrecher, Rainer

    2013-04-01

    Many future environmental changes will be caused by global climate change. To find solutions which help to deal with alterations in climate, ecosystem productivity, and water resources, an interdisciplinary and long-term research programme involving six Helmholtz Association Centers, was established in Germany. TERENO (Terrestrial Environmental Observatories) spans an Earth observation network that extends from the North German lowlands to the Bavarian Alps. This large-scale project aims to catalogue the longterm ecological, social and economic impact of global change at regional level. In this contribution we mainly describe the infrastructure which is used to determine the atmosphere-biosphere exchange of trace gases and energy in four German regions with different land use and climatic and edaphic conditions. A strong focus will be on the terrestrial water budgets, such as variability of precipitation and soil moisture, but also on the partitioning of evapotranspiration with the help of intensive sap flow measurements. Some of the TERENO sites do also contribute to the ICOS infrastructure where the main focus is the quantification of greenhouse gases with standardized measurement techniques. The TERENO sites involved are located in the Northeastern German Lowland (GFZ), Central Germany Lowland / Harz (UFZ), the Lower Rhine Valley / Eifel (FZJ) and in the Bavarian Prealps (KIT).

  11. Effects of a low-intensity strength-training program on knee-extensor strength and functional ability of frail older people

    NARCIS (Netherlands)

    Westhoff, M.H.; Stemmerik, L.; Boshuizen, H.C.

    2000-01-01

    This study's purpose was to investigate whether a 10-week low-intensity strength-training program could improve strength of the knee extensors and functional ability. Participants 65 years and older with low knee-extensor muscle strength were randomized into an exercise (n = 11) and a control group

  12. A 9-month follow-up of a 3-month web-based alcohol treatment program using intensive asynchronous therapeutic support.

    NARCIS (Netherlands)

    Postel, Marloes Gerda; ter Huurne, E.D.; de Haan, H.A.; van der Palen, Jacobus Adrianus Maria; de Jong, Cor A.J.

    2015-01-01

    Background: Web-based alcohol interventions have demonstrated efficacy in randomized controlled trials. However, most studies have involved self-help interventions without therapeutic support. Objectives: To examine the results of a 3-month web-based alcohol treatment program using intensive,

  13. A 9-month follow-up of a 3-month web-based alcohol treatment program using intensive asynchronous therapeutic support

    NARCIS (Netherlands)

    Postel, M.G.; Huurne, E.D. ter; Haan, H.A. de; Palen, J.A.M. van der; Jong, C.A.J. de

    2015-01-01

    Background: Web-based alcohol interventions have demonstrated efficacy in randomized controlled trials. However, most studies have involved self-help interventions without therapeutic support. Objectives: To examine the results of a 3-month web-based alcohol treatment program using intensive,

  14. German visits to CERN

    CERN Multimedia

    2007-01-01

    State secretary to Germany's Federal Ministry of Education and Research, Frieder Meyer-Krahmer, with CERN's Director-General Robert Aymar.On 21 February, Professor Frieder Meyer-Krahmer, State Secretary to Germany's Federal Ministry of Education and Research, came to CERN. He visited the ALICE and ATLAS experiments and the computing centre before meeting the CERN's Director-General, some German physicists and members of the top management. The Minister of Science, Research and the Arts of the Baden-Württemberg regional government, Peter Frankenberg, and CERN's Director-General, Robert Aymar, signing an agreement on education. In the background: Sigurd Lettow, CERN's Director of Finance and Human Resources, and Karl-Heinz Meisel, Rector of the Fachhochschule Karlsruhe. The Minister of Science, Research and the Arts of the Baden-Württemberg regional government, Prof. Peter Frankenberg, visited CERN on 23 February. He was accompanied by the Rector of the Fachhochschule Karlsruhe, Prof. Karl-Heinz Meisel, and b...

  15. [Haeckel: a German Darwinian?].

    Science.gov (United States)

    Schmitt, Stéphane

    2009-01-01

    German biologist Ernst Haeckel (1834-1919) is often considered the most renowned Darwinian in his country since, as early as 1862, he declared that he accepted the conclusions Darwin had reached three years before in On the Origin of Species, and afterwards, he continuously proclaimed himself a supporter of the English naturalist and championed the evolutionary theory. Nevertheless, if we examine carefully his books, in particular his General Morphology (1866), we can see that he carries on a tradition very far from Darwin's thoughts. In spite of his acceptance of the idea of natural selection, that he establishes as an argument for materialism, he adopts, indeed, a conception of evolution that is, in some respects, rather close to Lamarck's views. He is, thus, a good example of the ambiguities of the reception of Darwinism in Germany in the second part of the 19th century.

  16. Effects of a high-intensity intermittent training program on aerobic capacity and lipid profile in trained subjects

    Directory of Open Access Journals (Sweden)

    Ouerghi N

    2014-10-01

    Full Text Available Nejmeddine Ouerghi,1,2 Marwa Khammassi,1 Sami Boukorraa,1 Moncef Feki,2 Naziha Kaabachi,2 Anissa Bouassida,1,3 1Research Unit, Sportive Performance and Physical Rehabilitation, High Institute of Sports and Physical Education of Kef, University of Jendouba, Kef, Tunisia, 2Laboratory of Biochemistry, Rabta Hospital, Faculty of Medicine of Tunis, El Manar University, Tunis, 3Physiology Laboratory, Faculty of Medicine Ibn el Jazzar, Sousse, Tunisia Background: Data regarding the effect of training on plasma lipids are controversial. Most studies have addressed continuous or long intermittent training programs. The present study evaluated the effect of short-short high-intensity intermittent training (HIIT on aerobic capacity and plasma lipids in soccer players. Methods: The study included 24 male subjects aged 21–26 years, divided into three groups: experimental group 1 (EG1, n=8 comprising soccer players who exercised in addition to regular short-short HIIT twice a week for 12 weeks; experimental group 2 (EG2, n=8 comprising soccer players who exercised in a regular football training program; and a control group (CG, n=8 comprising untrained subjects who did not practice regular physical activity. Maximal aerobic velocity and maximal oxygen uptake along with plasma lipids were measured before and after 6 weeks and 12 weeks of the respective training program. Results: Compared with basal values, maximal oxygen uptake had significantly increased in EG1 (from 53.3±4.0 mL/min/kg to 54.8±3.0 mL/min/kg at 6 weeks [P<0.05] and to 57.0±3.2 mL/min/kg at 12 weeks [P<0.001]. Maximal oxygen uptake was increased only after 12 weeks in EG2 (from 52.8±2.7 mL/min/kg to 54.2±2.6 mL/min/kg, [P<0.05], but remain unchanged in CG. After 12 weeks of training, maximal oxygen uptake was significantly higher in EG1 than in EG2 (P<0.05. During training, no significant changes in plasma lipids occurred. However, after 12 weeks, total and low-density lipoprotein

  17. Improved Completion Rates and Characterization of Drug Reactions with an Intensive Chagas Disease Treatment Program in Rural Bolivia

    Science.gov (United States)

    Tornheim, Jeffrey A.; Lozano Beltran, Daniel F.; Gilman, Robert H.; Castellon, Mario; Solano Mercado, Marco A.; Sullca, Walter; Torrico, Faustino; Bern, Caryn

    2013-01-01

    Background Chagas disease treatment is limited by drug availability, adverse side effect profiles of available medications, and poor adherence. Methods Adult Chagas disease patients initiating 60-days of benznidazole were randomized to weekly or twice-weekly evaluations of medication adherence and screening for adverse drug events (ADEs). Mid-week evaluations employed phone-based evaluations. Adherence was measured by self-report, pill counts with intentional over-distribution, and Medication Event Monitoring Systems (MEMS). Prospective data were compared to historical controls treated with benznidazole at the same hospital. Results 162 prospective patients were compared to 172 historical patients. Pill counts correlated well with MEMS data (R = 0.498 for 7-day intervals, R = 0.872 for intervals >7 days). Treatment completion rates were higher among prospective than historical patients (82.1% vs. 65.1%), primarily due to lower abandonment rates. Rates of ADEs were lower among prospective than historical patients (56.8% vs. 66.9%). Twice-weekly evaluations increased identification of mild ADEs, prompting higher suspension rates than weekly evaluations. While twice-weekly evaluations identified ADEs earlier, they did not reduce incidence of moderate or severe ADEs. Many dermatologic ADEs were moderately severe upon presentation (35.6%), were not reduced by use of antihistamines, occurred among adult patients of all ages, and occurred throughout treatment, rather than the first few weeks alone. Conclusions Intensive management improved completion and identified more ADEs, but did not reduce moderate or severe ADEs. Risk of dermatologic ADEs cannot be reduced by selecting younger adults or monitoring only during the first few weeks of treatment. Pill counts and phone-based encounters are reliable tools for treatment programming in rural Bolivia. PMID:24069472

  18. Model Point-of-Care Ultrasound Curriculum in an Intensive Care Unit Fellowship Program and Its Impact on Patient Management

    Directory of Open Access Journals (Sweden)

    Keith Killu

    2014-01-01

    Full Text Available Objectives. This study was designed to assess the clinical applicability of a Point-of-Care (POC ultrasound curriculum into an intensive care unit (ICU fellowship program and its impact on patient care. Methods. A POC ultrasound curriculum for the surgical ICU (SICU fellowship was designed and implemented in an urban, academic tertiary care center. It included 30 hours of didactics and hands-on training on models. Minimum requirement for each ICU fellow was to perform 25–50 exams on respective systems or organs for a total not less than 125 studies on ICU. The ICU fellows implemented the POC ultrasound curriculum into their daily practice in managing ICU patients, under supervision from ICU staff physicians, who were instructors in POC ultrasound. Impact on patient care including finding a new diagnosis or change in patient management was reviewed over a period of one academic year. Results. 873 POC ultrasound studies in 203 patients admitted to the surgical ICU were reviewed for analysis. All studies included were done through the POC ultrasound curriculum training. The most common exams performed were 379 lung/pleural exams, 239 focused echocardiography and hemodynamic exams, and 237 abdominal exams. New diagnosis was found in 65.52% of cases (95% CI 0.590, 0.720. Changes in patient management were found in 36.95% of cases (95% CI 0.303, 0.435. Conclusions. Implementation of POC ultrasound in the ICU with a structured fellowship curriculum was associated with an increase in new diagnosis in about 2/3 and change in management in over 1/3 of ICU patients studied.

  19. Model Point-of-Care Ultrasound Curriculum in an Intensive Care Unit Fellowship Program and Its Impact on Patient Management

    Science.gov (United States)

    Killu, Keith; Coba, Victor; Mendez, Michael; Reddy, Subhash; Adrzejewski, Tanja; Huang, Yung; Ede, Jessica; Horst, Mathilda

    2014-01-01

    Objectives. This study was designed to assess the clinical applicability of a Point-of-Care (POC) ultrasound curriculum into an intensive care unit (ICU) fellowship program and its impact on patient care. Methods. A POC ultrasound curriculum for the surgical ICU (SICU) fellowship was designed and implemented in an urban, academic tertiary care center. It included 30 hours of didactics and hands-on training on models. Minimum requirement for each ICU fellow was to perform 25–50 exams on respective systems or organs for a total not less than 125 studies on ICU. The ICU fellows implemented the POC ultrasound curriculum into their daily practice in managing ICU patients, under supervision from ICU staff physicians, who were instructors in POC ultrasound. Impact on patient care including finding a new diagnosis or change in patient management was reviewed over a period of one academic year. Results. 873 POC ultrasound studies in 203 patients admitted to the surgical ICU were reviewed for analysis. All studies included were done through the POC ultrasound curriculum training. The most common exams performed were 379 lung/pleural exams, 239 focused echocardiography and hemodynamic exams, and 237 abdominal exams. New diagnosis was found in 65.52% of cases (95% CI 0.590, 0.720). Changes in patient management were found in 36.95% of cases (95% CI 0.303, 0.435). Conclusions. Implementation of POC ultrasound in the ICU with a structured fellowship curriculum was associated with an increase in new diagnosis in about 2/3 and change in management in over 1/3 of ICU patients studied. PMID:25478217

  20. Improved completion rates and characterization of drug reactions with an intensive Chagas disease treatment program in rural Bolivia.

    Directory of Open Access Journals (Sweden)

    Jeffrey A Tornheim

    Full Text Available BACKGROUND: Chagas disease treatment is limited by drug availability, adverse side effect profiles of available medications, and poor adherence. METHODS: Adult Chagas disease patients initiating 60-days of benznidazole were randomized to weekly or twice-weekly evaluations of medication adherence and screening for adverse drug events (ADEs. Mid-week evaluations employed phone-based evaluations. Adherence was measured by self-report, pill counts with intentional over-distribution, and Medication Event Monitoring Systems (MEMS. Prospective data were compared to historical controls treated with benznidazole at the same hospital. RESULTS: 162 prospective patients were compared to 172 historical patients. Pill counts correlated well with MEMS data (R = 0.498 for 7-day intervals, R = 0.872 for intervals >7 days. Treatment completion rates were higher among prospective than historical patients (82.1% vs. 65.1%, primarily due to lower abandonment rates. Rates of ADEs were lower among prospective than historical patients (56.8% vs. 66.9%. Twice-weekly evaluations increased identification of mild ADEs, prompting higher suspension rates than weekly evaluations. While twice-weekly evaluations identified ADEs earlier, they did not reduce incidence of moderate or severe ADEs. Many dermatologic ADEs were moderately severe upon presentation (35.6%, were not reduced by use of antihistamines, occurred among adult patients of all ages, and occurred throughout treatment, rather than the first few weeks alone. CONCLUSIONS: Intensive management improved completion and identified more ADEs, but did not reduce moderate or severe ADEs. Risk of dermatologic ADEs cannot be reduced by selecting younger adults or monitoring only during the first few weeks of treatment. Pill counts and phone-based encounters are reliable tools for treatment programming in rural Bolivia.

  1. Improved completion rates and characterization of drug reactions with an intensive Chagas disease treatment program in rural Bolivia.

    Science.gov (United States)

    Tornheim, Jeffrey A; Lozano Beltran, Daniel F; Gilman, Robert H; Castellon, Mario; Solano Mercado, Marco A; Sullca, Walter; Torrico, Faustino; Bern, Caryn

    2013-01-01

    Chagas disease treatment is limited by drug availability, adverse side effect profiles of available medications, and poor adherence. Adult Chagas disease patients initiating 60-days of benznidazole were randomized to weekly or twice-weekly evaluations of medication adherence and screening for adverse drug events (ADEs). Mid-week evaluations employed phone-based evaluations. Adherence was measured by self-report, pill counts with intentional over-distribution, and Medication Event Monitoring Systems (MEMS). Prospective data were compared to historical controls treated with benznidazole at the same hospital. 162 prospective patients were compared to 172 historical patients. Pill counts correlated well with MEMS data (R = 0.498 for 7-day intervals, R = 0.872 for intervals >7 days). Treatment completion rates were higher among prospective than historical patients (82.1% vs. 65.1%), primarily due to lower abandonment rates. Rates of ADEs were lower among prospective than historical patients (56.8% vs. 66.9%). Twice-weekly evaluations increased identification of mild ADEs, prompting higher suspension rates than weekly evaluations. While twice-weekly evaluations identified ADEs earlier, they did not reduce incidence of moderate or severe ADEs. Many dermatologic ADEs were moderately severe upon presentation (35.6%), were not reduced by use of antihistamines, occurred among adult patients of all ages, and occurred throughout treatment, rather than the first few weeks alone. Intensive management improved completion and identified more ADEs, but did not reduce moderate or severe ADEs. Risk of dermatologic ADEs cannot be reduced by selecting younger adults or monitoring only during the first few weeks of treatment. Pill counts and phone-based encounters are reliable tools for treatment programming in rural Bolivia.

  2. German Quality in the Service of a European Public Sphere? An Analysis of the Deutsche Welle’s European Journal program

    Directory of Open Access Journals (Sweden)

    Oana Ludmila Popescu

    2015-04-01

    Full Text Available The economic crisis of the European Union has rendered the European public sphere as a forever emerging concept marked by uncertainties regarding its structure. In this context, eyes of both European officials and citizens turn towards the media, the main communication link between the EU and its citizens. The present paper looks at a media product that is designed to permeate multiple national public spheres, the weekly news show European Journal, a half-hour TV program produced by Deutsche Welle and rebroadcast by partner TV channels throughout Europe. Considering the main characteristics of the European public sphere as identified in the literature, with a focus on horizontal Europeanization, and using the method of content analysis, this paper looks at the means employed by the European Journal to support the integration process and to add a European dimension to national public sphere. Findings suggest that the type of public sphere promoted by the European Journal is not centered around the EU as a distinct entity, but around the member states, approach which supports the idea of a horizontal Europeanization.

  3. Developing basic educational standards for educational resources for master\\'s degree program in \\'nursing neonatal intensive care\\': Report of a Delphi study

    Directory of Open Access Journals (Sweden)

    m ghorbanzadeh

    2016-07-01

    Full Text Available Introduction: Using the adequate and standardized educational facilities and spaces can ensure effective educational program. The purpose of the current study was developing basic educational standards for master's degree program in 'nursing neonatal intensive care'. Methods: This study is a descriptive study used Delphi approach to conduct with the participation of 40 experts in nursing neonatal intensive care from all over Iran in 2014. The study population consisted of neonatologists and medical professionals, administrators of educational department, faculties of pediatrics department, head nurses of neonatal intensive care unit, students and graduates of course in nursing neonatal intensive care were selected purposively. Firstly, the educational standards (24 items were gathered with extensive review and secondly, experts commented to questionnaire in three rounds. The first and second rounds were performed in a meeting with participation of 20 experts from Mashhad University of Medical Sciences and the third round was performance through sending emails to 40 experts from all over Iran. Results: In the third round, 10 basic education standards for students of master's degree program in 'nursing neonatal intensive care' unit have been agreed. The standards included theoretical training classes, equipped center for clinical skills, educational workshops, evidence-based learning environment, sufficient number of beds for neonatal intensive care unit, specialized books/ study hall school and hospital, wireless Internet, shared databases, and research approved process. Conclusion: These findings can be used to evaluate the educational resources in schools, which had courses of sciences degrees and it can be a good pattern for the standardization of other majors.

  4. EFFECT OF SUPERVISED MODERATE INTENSITY EXERCISE PROGRAM IN PHASE ONE CARDIAC REHABILITATION OF POST OPERATIVE CABG PATIENTS - A RANDOMIZED CONTROLLED TRAIL

    Directory of Open Access Journals (Sweden)

    Rajan Modi

    2014-10-01

    Full Text Available Background: With the increasing number of cases for CABG, the cardiac rehabilitation has gained importance. The trends in rehabilitation of a coronary artery disease patient are changing by incorporating a variety of aerobic exercises and resisted training in to their rehabilitation program. The outcome of any exercise chiefly depends on the training parameters like intensity, frequency and duration. Hence the present study focused to know the effects of supervised moderate intensity exercises on patients during hospital discharge following CABG. The objective of is to study the effectiveness of supervised moderate intensity exercise on distance walked and Quality of Life at hospital discharge following CABG. Methods: Study recruited randomly 46 patients between age group 40-65 years who were posted for non-emergency CABG for the first time. Pre-operative assessment was done thoroughly and was divided in to two groups, Group A conventional treatment and Group B Moderate intensity exercise group. The patients were treated using different protocols in terms of intensity for 8-10 days immediate post CABG. Then the outcome parameters of 6MWT and sf-36 were compared for analysis. Results: Both groups individually showed extremely significant results for two outcome measures. 6 MWD difference between two treatment groups showed significant results with unpaired t test (t = 8.5720,p<0.001. Quality of life score difference within group showed very significant results but there is no difference found between both groups. Conclusion: Moderate intensity exercises can also be included in the immediate post-operative phase of CABG, as they reduce the length of hospital stay and quicken the cardiac rehabilitation process. But there need to be a lot of randomized control trails to confirm the benefits of moderate intensity exercises in phase one rehabilitation program after CABG.

  5. Becoming German: Integration, Citizenship and Territorialization of Germanness

    DEFF Research Database (Denmark)

    Fogelman, Tatiana

    2017-01-01

    understandings of integration and Germanness, this paper highlights the neglected aspect of the ascendance of Integrationspolitik since the turn of the century: namely how it superseded previous regime of completely bifurcated migration policy for "foreigners" on the one hand, and so-called "settlers" of German......Seeking to contribute to research on national modalities of turn towards integrationist agenda in Europe, this article provides an explicitly spatial analysis of transformations of Germany's institutional, legal and discursive landscape of state-migrant relations. Focusing on changing...... ancestry on the other. This shift has made these opposed categories of de-facto but never de jure migrants commensurate for the very first time as actual migrants. The paper shows that what matters increasingly more for state conception of Germanness is subject's embeddedness in the German national society...

  6. [Development and Evaluation of a Self-Reflection Program for Intensive Care Unit Nurses Who Have Experienced the Death of Pediatric Patients].

    Science.gov (United States)

    Kang, Hyun Ju; Bang, Kyung Sook

    2017-06-01

    This study aims to develop a self-reflection program for nurses who have experienced the death of pediatric patients in the intensive care unit and to evaluate its effectiveness. The self-reflection program was developed by means of the following four steps: establishment of the goal through investigation of an initial request, drawing up the program, preliminary research, and implementation and improvement of the program. The study employed a methodological triangulation to evaluate the effectiveness of the program. Participants were 38 nurses who had experienced the death of pediatric patients (experimental group=15, control group=23); they were recruited using convenience sampling. The self-reflection program was provided over 6 weeks (6 sessions). Data were collected from April to August, 2014 and analyzed using t-tests and content analysis. The quantitative results showed that changes in personal growth (t=-6.33, pburnout scores (z=-2.76, p=.005) were better in the experimental group compared to the control group. The qualitative results exhibited two themes, namely "personal growth" and "professional growth", and ten sub-themes. The self-reflection program developed by this study was effective in helping nurses who had experienced the death of pediatric patients to achieve personal growth through self-reflection, and it was confirmed that the program can be applied in a realistic clinical nursing setting. Furthermore, it can be recommended as an intervention program for clinical nurses.

  7. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs Measuring Physical Activity Intensity Recommend on Facebook Tweet ... Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs File Formats Help: How do I view different ...

  8. German Memo and Letter Style.

    Science.gov (United States)

    Bell, Arthur H.; And Others

    1995-01-01

    Describes German correspondence styles in order to assist American managers. Explains typical conventions of both letter and memo formats, emphasizing the need to appreciate differences between formal and informal modes of communication. (RS)

  9. Developing effective written communication and advocacy skills in entry-level health educators through writing-intensive program planning methods courses.

    Science.gov (United States)

    Galer-Unti, Regina A; Tappe, Marlene K

    2006-01-01

    Written communication is a requisite skill for practitioners in the field of health education. Advocacy skills are now considered to be both a professional competency and an ethical responsibility. Given that many advocacy strategies involve written communication, it makes sense that the skills of writing and advocacy be developed concomitantly and within a writing-intensive class. The purposes of this article are twofold: (a) to describe the role of writing-intensive program planning methods courses in the development of written communication and advocacy skills in entry-level health educators and (b) to suggest strategies for planning, implementing, and assessing writing-intensive assignments and instructional activities designed to develop students' written communication and advocacy skills. Multiple examples of writing assignments are presented that can be used in helping students in developing their critical thinking, writing, and advocacy skills.

  10. Alternative Approaches for Educating Future Global Marketing Professionals: A Comparison of Foreign Study and Research-Intensive Marketing Programs

    Science.gov (United States)

    Kaufman, Peter A.; Melton, Horace L.; Varner, Iris I.; Hoelscher, Mark; Schmidt, Klaus; Spaulding, Aslihan D.

    2011-01-01

    Using an experiential learning model as a conceptual background, this article discusses characteristics and learning objectives for well-known foreign study programs such as study tours, study abroad, and internships and compares them with a less common overseas program called the "Global Marketing Program" (GMP). GMP involves…

  11. Clinician-scientist trainee: a German perspective.

    Science.gov (United States)

    Bossé, Dominick; Milger, Katrin; Morty, Rory E

    2011-12-01

    Clinician-scientists are particularly well positioned to bring basic science findings to the patient's bedside; the ultimate objective of basic research in the health sciences. Concerns have recently been raised about the decreasing workforce of clinician-scientists in both the United States of America and in Canada; however, little is known about clinician-scientists elsewhere around the globe. The purpose of this article is two-fold: 1) to feature clinician-scientist training in Germany; and 2) to provide a comparison with the Canadian system. In a question/answer interview, Rory E. Morty, director of a leading clinician-scientist training program in Germany, and Katrin Milger, a physician and graduate from that program, draw a picture of clinician-scientist training and career opportunities in Germany, outlining the place of clinician-scientists in the German medical system, the advantages and drawbacks of this training, and government initiatives to promote training and career development of clinician-scientists. The interview is followed by a discussion comparing the German and Canadian clinician-scientist development programs, focusing on barriers to trainee recruitment and career progress, and efforts to eliminate the barriers encountered along this very demanding but also very rewarding career path.

  12. "Deutschland-Studien" in Kanada: Geschichte und Perspektiven ("German Studies" in Canada: History and Prospects).

    Science.gov (United States)

    Prokop, Manfred

    1996-01-01

    As in other countries, German Studies in Canada is facing an existential crisis. Because of the changes in this discipline, one must seriously think in Canada as well about how it can and should go forward. Discusses aspects of the "German Studies Program," which offers an alternative and which has been introduced in the last four years…

  13. Brain responses to language-relevant musical features in adolescent cochlear implant users before and after an intensive music training program

    DEFF Research Database (Denmark)

    Petersen, Bjørn; Weed, Ethan; Hansen, Mads

    Brain responses to language-relevant musical features in adolescent cochlear implant users before and after an intensive music training program Petersen B.1,2, Weed E.1,3, Hansen M.1,4, Sørensen S.D.3 , Sandmann P.5 , Vuust P.1,2 1Center of Functionally Integrative Neuroscience, Aarhus University...... musical training. The finding points toward the possibility of improving appreciation of music in general for adolescent CI users, and using music as a motivating element in speech therapy programs....

  14. Improved self-efficacy in persons with relapsing remitting multiple sclerosis after an intensive social cognitive wellness program with participation of support partners: a 6-months observational study

    OpenAIRE

    Jongen, Peter Joseph; Ruimschotel, Rob; Heerings, Marco; Hussaarts, Astrid; Duyverman, Lotte; van der Zande, Anneke; Valkenburg-Vissers, Joyce; Wolper, Hanne; van Droffelaar, Maarten; Lemmens, Wim; Donders, Rogier; Visser, Leo H

    2014-01-01

    BACKGROUND: For persons with multiple sclerosis (MS) it is important to preserve their autonomy, in spite of increasing disability. A major factor mediating autonomy is self-efficacy. According to the social cognitive theory stressors are crucial determinants of self-efficacy, as well as the interaction with partners. METHODS: In an explorative observational study we assessed in 47 persons with MS (PwMS) the effect of an intense, multidisciplinary, 3-day, social cognitive wellness program wit...

  15. An intensive social cognitive program (can do treatment) in people with relapsing remitting multiple sclerosis and low disability: a randomized controlled trial protocol

    OpenAIRE

    Jongen, P.J.; Heerings, M.; Ruimschotel, R.; Hussaarts, A.; Evers, S.; Duyverman, L.; Valkenburg-Vissers, J.; Cornelissen, J.; Bos, M.; Droffelaar, M. van; Lemmens, W.A.J.G.; Donders, R.; Van De Zande, A.; Visser, L. H.

    2016-01-01

    BACKGROUND: In people with multiple sclerosis (MS) disabilities and limitations may negatively affect self-efficacy. Lowered self-efficacy has been associated with decreases in health-related quality of life, physical activity and cognitive performance. In an explorative observational study we found that a 3-day intensive social cognitive program (Can Do Treatment [CDT]) with the participation of support partners was followed by substantial increases in self-efficacy control and health-relate...

  16. Effects of a high-intensity interval training program versus a moderate-intensity continuous training program on maximal oxygen uptake and blood pressure in healthy adults: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Arboleda Serna, Víctor Hugo; Arango Vélez, Elkin Fernando; Gómez Arias, Rubén Darío; Feito, Yuri

    2016-08-18

    Participation in aerobic exercise generates increased cardiorespiratory fitness, which results in a protective factor for cardiovascular disease and all-cause mortality. High-intensity interval training might cause higher increases in cardiorespiratory fitness in comparison with moderate-intensity continuous training; nevertheless, current evidence is not conclusive. To our knowledge, this is the first study to test the effect of high-intensity interval training with total load duration of 7.5 min per session. A randomized controlled trial will be performed on two groups of healthy, sedentary male volunteers (n = 44). The study protocol will include 24 exercise sessions, three times a week, including aerobic training on a treadmill and strength training exercises. The intervention group will perform 15 bouts of 30 s, each at an intensity between 90 % and 95 % of maximal heart rate. The control group will complete 40 min of continuous exercise, ranging between 65 % and 75 % of maximal heart rate. The primary outcome measure to be evaluated will be maximal oxygen uptake (VO2max), and systolic and diastolic blood pressure will be evaluated as secondary outcome measures. Waist circumference, body mass index, and body composition will also be evaluated. Epidemiological evidence shows the link between VO2max and its association with chronic conditions that trigger CVD. Therefore, finding ways to improve VO2max and reduce blood pressure it is of vital importance to public health. NCT02288403 . Registered on 4 November 2014.

  17. A Controlled and Retrospective Study of 144 Chronic Low Back Pain Patients to Evaluate the Effectiveness of an Intensive Functional Restoration Program in France.

    Science.gov (United States)

    Caby, Isabelle; Olivier, Nicolas; Janik, Frédérick; Vanvelcenaher, Jacques; Pelayo, Patrick

    2016-04-27

    A controlled and retrospective study of 144 chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program in France. Evaluating the efficiency of an intensive, dynamic and multidisciplinary functional restoration program in patients with chronic low back pain (LBP), during 6 and 12 months follow up. Chronic low back pain disease has a multifactor nature, involving physical, psychological professional and social factors. A functional restoration program (FRP) has been included in a multidisciplinary training program which provides an efficient therapeutic solution. However, the effectiveness of an FRP has not been yet established. 144 subjects (71 males, 73 females) with chronic low back pain were included in a functional restoration program. The FRP includes physiotherapy and occupational therapy interventions together with psychological counselling. Patients participated as in- or outpatients 6 h per day, 5 days a week over 5 weeks. Pain intensity, trunk flexibility, trunk strength, lifting ability, quality of life and return to work were recorded before, immediately after, and at 6 months and 12 months after the treatment period. All outcome measures were significantly higher just after the FRP (144 patients) and at 6 and 12 months (from available data in 31 subjects) compared to pre-treatment values. This FRP for chronic low back pain maintained its benefits whatever the patient's activities. The effects reflected on all outcome measures, both on short and long term follow-up. The multidisciplinary FRP for chronic low back pain patients durably stopped the de-conditioning syndrome and involved new life-style habits for the patient, daily pain management and a return to work.

  18. A Controlled and Retrospective Study of 144 Chronic Low Back Pain Patients to Evaluate the Effectiveness of an Intensive Functional Restoration Program in France

    Directory of Open Access Journals (Sweden)

    Isabelle Caby

    2016-04-01

    Full Text Available Study Design: A controlled and retrospective study of 144 chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program in France. Objective: Evaluating the efficiency of an intensive, dynamic and multidisciplinary functional restoration program in patients with chronic low back pain (LBP, during 6 and 12 months follow up. Summary of background data: Chronic low back pain disease has a multifactor nature, involving physical, psychological professional and social factors. A functional restoration program (FRP has been included in a multidisciplinary training program which provides an efficient therapeutic solution. However, the effectiveness of an FRP has not been yet established. Methods: 144 subjects (71 males, 73 females with chronic low back pain were included in a functional restoration program. The FRP includes physiotherapy and occupational therapy interventions together with psychological counselling. Patients participated as in- or outpatients 6 h per day, 5 days a week over 5 weeks. Pain intensity, trunk flexibility, trunk strength, lifting ability, quality of life and return to work were recorded before, immediately after, and at 6 months and 12 months after the treatment period. Results: All outcome measures were significantly higher just after the FRP (144 patients and at 6 and 12 months (from available data in 31 subjects compared to pre-treatment values. This FRP for chronic low back pain maintained its benefits whatever the patient’s activities. Conclusions: The effects reflected on all outcome measures, both on short and long term follow-up. The multidisciplinary FRP for chronic low back pain patients durably stopped the de-conditioning syndrome and involved new life-style habits for the patient, daily pain management and a return to work.

  19. Behavioral and Neurological Responses to Musical Features in Adolescent Cochlear Implant Users Before and After an Intensive Musical Training Program

    DEFF Research Database (Denmark)

    Petersen, Bjørn

    This study aimed to investigate perception and processing of musical features in prelingually deaf adolescent CI-users and examine whether this is influenced by music training. Eleven adolescent CI-users received intensive music training for two weeks. Before and after training they completed...... responses for timbre, intensity and rhythm but not for pitch. No effect of training was found in the MMN responses. The findings indicate that despite congenital deafness and late implantation, young CI users are able to discriminate details in music. Furthermore, the behavioral advances suggest that......, in a wider perspective, music training may serve as a supplementary measure of rehabilitation....

  20. Sind Sie fit (Are You in Shape)?: Calisthenics in German.

    Science.gov (United States)

    Wolter, Don

    This packet of instructional materials, intended for intermediate and advanced German students, contains a student's section and a teacher's guide focusing on calisthenics. The student section contains three illustrated transcriptions of radio programs on calisthenics for early morning listeners of "Der bayrische Rundfunk" in West Germany.…

  1. Electronic Learning in the German Science Project "NAWI-Interaktiv"

    Science.gov (United States)

    Wegner, Claas; Homann, Wiebke; Strehlke, Friederike

    2014-01-01

    The German science project "NAWI-Interaktiv" is an example of innovative use of E-Learning and new media education. Since 2009, the learning platform provides learners and teachers with high-quality learning tools, teaching material, useful information and E-learning programs for free. This is to raise the pupils' motivation to learn…

  2. [Differences in effectiveness of intensive programs of treatment for neurotic and personality disorders. Is it worth to monitor the effectiveness of the therapeutic team?].

    Science.gov (United States)

    Styła, Rafał

    2014-01-01

    To test whether three different intensive programs of treatment for neurotic and personality disorders are effective in decreasing neurotic symptoms and traits of neurotic personality and whether there are differences between them in clinical outcome. The sample consisted of 105 patients (83% female, mean age 35) diagnosed with neurosis and personality disorders that were treated in three therapeutic wards under routine inpatient conditions. The therapeutic programs are designed for patients with neurotic and personality disorders. They consist of 6-12 weeks of approximately 5 hours of eclectic group treatment (group psychotherapy, psychodrama, psychoeducation etc.). Participants filled in Symptoms' Questionnaire KS-II, and Neurotic Personality Questionnaire KON-2006 at the beginning and at the end of the course of psychotherapy. The treatment proved to be effective in diminishing neurotic symptoms (d Cohen = 0.56). More detailed analysis revealed that there was a significant interaction between the three analysed therapeutic wards and the effectiveness (12 = 0.09). The treatments offered in two institutions were effective (d Cohen = 0.80) while one of the programs did not lead to significant improvement of the patients. None of the therapeutic wards proved to be effective in changing the neurotic personality traits. There are significant differences in effectiveness of the intensive programs of treatment for neurotic and personality disorders. In the light of the literature, one can assume that the differences are more connected with the characteristics of therapeutic teams than with the methods used. The need for standard methods of effectiveness monitoring is discussed.

  3. Analysis of Spelling Errors of Saudi Beginner Learners of English Enrolled in an Intensive English Language Program

    Science.gov (United States)

    Alhaisoni, Eid M.; Al-Zuoud, Khalid M.; Gaudel, Daya Ram

    2015-01-01

    This study reports the types of spelling errors made by the beginner learners of English in the EFL context as well as the major sources underpinning such errors in contextual writing composition tasks. Data were collected from written samples of 122 EFL students (male and female) enrolled in the intensive English language programme during the…

  4. German cancer statistics 2004

    Directory of Open Access Journals (Sweden)

    Ziese Thomas

    2010-02-01

    Full Text Available Abstract Background For years the Robert Koch Institute (RKI has been annually pooling and reviewing the data from the German population-based cancer registries and evaluating them together with the cause-of-death statistics provided by the statistical offices. Traditionally, the RKI periodically estimates the number of new cancer cases in Germany on the basis of the available data from the regional cancer registries in which registration is complete; this figure, in turn, forms the basis for further important indicators. Methods This article gives a brief overview of current indicators - such as incidence, prevalence, mortality, survival rates - on the most common types of cancer, as well as important ratios on the risks of developing and dying of cancer in Germany. Results According to the latest estimate, there were a total of 436,500 new cancer cases in Germany in 2004. The most common cancer in men is prostate cancer with over 58,000 new cases per annum, followed by colorectal and lung cancer. In women, breast cancer remains the most common cancer with an estimated 57,000 new cases every year, also followed by colorectal cancer. These and further findings on selected cancer sites can be found in the current brochure on "Cancer in Germany", which is regularly published by the RKI together with the Association of Population-based Cancer Registries in Germany (GEKID. In addition, the RKI made cancer-prevalence estimates and calculated current morbidity and mortality risks at the federal level for the first time. According to these figures, the 5-year partial prevalence - i.e. the total number of cancer patients diagnosed over the past five years who are currently still living - exceeds 600,000 in men; the figure is about the same among women. Here, too, the most common cancers are prostate cancer in men and breast cancer in women. The lifetime risk of developing cancer, which is more related to the individual, is estimated to be higher among

  5. Recent German Educational Trends in the Information and Documentation Field: Integrating Subject Fields into Information Science Programmes.

    Science.gov (United States)

    Seeger, Thomas

    1987-01-01

    Describes curriculum development in West German information science programs that integrates subject specialty knowledge with information science and technology. An overview of the West German educational system is given and a program with subject specialties in chemistry and electrical engineering at the Fachhochschule Darmstadt is explained.…

  6. Immobile Complex Verbs in Germanic

    DEFF Research Database (Denmark)

    Vikner, Sten

    2005-01-01

    Certain complex verbs in Dutch, German, and Swiss German do not undergo verb movement. The suggestion to be made in this article is that these ‘‘immobile'' verbs have to fulfill both the requirements imposed on complex verbs of the V° type (=verbs with non-separable prefixes) and the requirements...... imposed on complex verbs of the V* type (=verbs with separable prefixes). This results in such verbs being morphologically unexceptional, i.e., having a full set of forms but syntactically peculiar (‘‘immobile''), i.e., they can only occur in their base position. Any movement is incompatible with either...... (and why this single prefix-like part may NOT be a particle), - why immobile verbs even include verbs with two prefix-like parts, where each of these are separable particles (as in, e.g., German voranmelden ‘preregister'), - why there is such a great amount of speaker variation as to which verbs...

  7. Brain response to a rhythm deviant in adolescent cochlear implant users before and after an intensive musical training program

    DEFF Research Database (Denmark)

    Petersen, Bjørn; Weed, Ethan; Hansen, Mads

    . This study aimed to investigate auditory brain processing of musical sounds relevant to prosody processing in adolescent CI-users who have received their implant in childhood. Furthermore, we aimed to investigate the potential impact of intensive musical training on adolescent CI-users’ discrimination...... (pitch, timbre, rhythm and intensity). Difference waves for the rhythm deviant were analyzed in the time window between 300 and 320 ms. Separate mixed-model ANOVAs were performed for left and right fronto-central electrodes. For both left and right electrode sites we found a main effect of group (Left: F......(1,16) = 39,859 p = 0.000, Right: F(1,16)=7.862 p = 0.013), driven by higher mean amplitude in the NH group. There was no main effect of training. Left hemisphere sites showed a significant group by session interaction (F(1,16)=11.211 p=0.004), driven by a larger difference wave (rhythm deviant...

  8. The Impact of Carsharing on Car Ownership in German Cities

    OpenAIRE

    Giesel, Flemming; Nobis, Claudia

    2016-01-01

    Carsharing, currently growing strongly in Germany, is an important instrument for sustainable urban mobility. The present boom is mainly due to so-called "free-floating carsharing". Whilst the environmental effects of station-based carsharing have been intensively studied in the German-speaking context, to date there have been hardly any empirical findings on the effect of free-floating carsharing. Using the example of DriveNow and Flinkster in Berlin and Munich, this article examines to ...

  9. Assessing the Effect of an Intensive 2-Week Surgical Training and Innovation Program for High-School Students.

    Science.gov (United States)

    Labadie, Brian; Patel, Roshan M; Gandy Labadie, Jessica; Hwang, Christina; Okhunov, Zhamshid; Landman, Jaime

    2017-06-15

    The summer surgery program (SSP) was founded in 2012 as an educational program for students at the critical juncture between high school and college to engender interest in medicine, science, and innovation. This program has a distinct emphasis on innovation and problem solving based on real-life operative challenges identified by students during surgical observation in the operating room. The effect of the SSP regarding postsecondary education and career goals was evaluated by participants using a follow-up questionnaire. Retrospective cohort study using web-based survey administered to students at least 1 year after participation in the SSP. Associations between demographics and survey responses were made using Fisher's exact test and a Bonferonni correction was used to account for multiple comparisons. Between July 2012 and August 2015, 119 students enrolled in the SSP. We sent a web-based questionnaire link to all participants who completed the program. The questionnaire contained 80 questions assessing the participant's interest in studying medicine or science in college, knowledge of health care, and their appreciation and understanding of innovation. UC Irvine Medical Center, Orange, CA; Institutional tertiary care center. In total, 77 (64.7%) of 119 students who matriculated in the SSP completed the follow-up survey; the mean number of years after the program was 2.09 years. Nearly all students reported the program increased their interest in studying medicine or science in college (97.4%), led them to a better understanding of their own career goals (93.5%) and made them more confident in their ability to succeed in a career in health care (88.3%). The majority indicated the program led them to better understand the training and schooling required of doctors and surgeons (94.8%), and led them to better appreciate the roles of different medical specialties (96.1%). Overall 96% of students reported that the program led them to better understand the

  10. Effects of a high-intensity functional exercise program on depressive symptoms among people with dementia in residential care: a randomized controlled trial.

    Science.gov (United States)

    Boström, Gustaf; Conradsson, Mia; Hörnsten, Carl; Rosendahl, Erik; Lindelöf, Nina; Holmberg, Henrik; Nordström, Peter; Gustafson, Yngve; Littbrand, Håkan

    2016-08-01

    The aim of this study is to evaluate the effect of a high-intensity functional exercise program on depressive symptoms among older care facility residents with dementia. Residents (n = 186) with a diagnosis of dementia, age ≥ 65 years, Mini-Mental State Examination score ≥ 10, and dependence in activities of daily living were included. Participants were randomized to a high-intensity functional exercise program or a non-exercise control activity conducted 45 min every other weekday for 4 months. The 15-item Geriatric Depression Scale (GDS) and the Montgomery-Åsberg Depression Rating Scale (MADRS) were administered by blinded assessors at baseline, 4, and 7 months. No difference between the exercise and control activity was found in GDS or MADRS score at 4 or 7 months. Among participants with GDS scores ≥ 5, reductions in GDS score were observed in the exercise and control groups at 4 months (-1.58, P = 0.001 and -1.54, P = 0.004) and 7 months (-1.25, P = 0.01 and -1.45, P = 0.007). Among participants with MADRS scores ≥ 7, a reduction in MADRS score was observed at 4 months in the control group (-2.80, P = 0.009) and at 7 months in the exercise and control groups (-3.17, P = 0.003 and -3.34, P = 0.002). A 4-month high-intensity functional exercise program has no superior effect on depressive symptoms relative to a control activity among older people with dementia living in residential care facilities. Exercise and non-exercise group activities may reduce high levels of depressive symptoms. Copyright © 2015 John Wiley & Sons, Ltd.

  11. Long-term effects of a non-intensive weight program on body mass index and metabolic abnormalities of obese children and adolescents

    Directory of Open Access Journals (Sweden)

    Kubicky Rita

    2012-06-01

    Full Text Available Abstract Background Previous studies have demonstrated positive effects of short-term, intensive weight-loss programs in obese children. Objectives We evaluated the long-term effects of a non-intensive weight management program on the BMI, glycemic measures and lipid profiles of obese youth. Methods Retrospective chart review of 61 obese children followed at our Weight Management Center. During visits, dietary changes and regular physical activity were recommended. Anthropometric and laboratory parameters were evaluated. Results At the initial visit, the mean age was 11.1 ± 2.6 years. The follow-up period was 47.3 ± 11.1 months; the number of outpatient visits per year (OV/yr was 2.9 ± 0.9. At the end of the follow-up, the whole group exhibited decreased BMI z-score and LDL-cholesterol when compared to the initial visit. In the subset of subjects in whom OGTT was performed, 2-hour glucose and peak insulin were decreased. Compared to children with ≤ 2 OV/year, those with > 2 OV/year (3.19 ± 0.7 exhibited a significant decrease in their BMI z-score, LDL-cholesterol, 2-hour glucose, and peak insulin. Conclusions Our study suggests that a periodical (~ 3 OV/yr evaluation in a non-intensive, long-term weight management program may significantly improve the degree of obesity and cardiovascular risk factors in childhood.

  12. Cross-cultural adaptation, reliability, and validity of the German version of the Pain Catastrophizing Scale

    OpenAIRE

    Meyer, K.; Sprott, H.; Mannion, A.F.

    2008-01-01

    OBJECTIVE: In patients with chronic pain, catastrophizing is a significant determinant of self-rated pain intensity and disability. The Pain Catastrophizing Scale (PCS) was developed to assist with both treatment planning and outcome assessment; to date, no German version has been validated. METHODS: A cross-cultural adaptation of the PCS into German was carried out, strictly according to recommended methods. A questionnaire booklet containing the PCS, visual analogue scales (numeric rating s...

  13. On A Project Work for International Students Paired with Japanese Partners in a Summer Intensive Japanese Program for Science and Technology

    Science.gov (United States)

    Fudano, Hiroko

    A project work in which learners of a foreign language engage in a task with the native speakers is one of the effective ways to bring in ample real communication opportunities to a classroom. This scheme also gives both parties meaningful experiences for intercultural understanding. This paper reports a “Pythagoras” machine production project in which international students were paired up with Japanese students as a part of a Japanese for science and technology course in a summer intensive program. Based on the participants‧ course evaluation data, the paper also discusses the effectiveness of the project for Japanese language learning and for promoting intercultural understanding.

  14. The Effect of the Educational Program on Iranian Premature Infants’ Parental Stress in a Neonatal Intensive Care Unit: A Double-Blind Randomized Controlled Trial

    OpenAIRE

    Beheshtipour, Noushin; Baharlu, Seyedeh Marzieh; Montaseri, Sedigheh; Razavinezhad Ardakani, Seyed Mostajab

    2014-01-01

    Background: Hospitalization in neonatal intensive care unit (NICU) leads to a lot of stress and shock to the parents. Nurses, as the primary sources of information, could play an important role in reducing their stress. The aim of this study was to determine the effect of educational program on the premature infants’ parental stress in NICU. Methods: This double-blind randomized controlled trial study with a pre-and post-test and follow up design was conducted from February 2013 to March 2014...

  15. Levelling in the German Verb Paradigm

    Science.gov (United States)

    Newman, John

    1974-01-01

    Levelling processes in the history of the German verb paradigm from Old High German to the present are discussed. It is asserted that the theory of transformational generative grammar provides a proper framework for the study of linguistic change. (RM)

  16. German urologists under national socialism.

    Science.gov (United States)

    Krischel, Matthis

    2014-08-01

    The first full-time professorship for urology at a German university was established in 1937 and in 1942, a rare teaching qualification (Habilitation) for urology was granted, both at the prestigious Berlin University. At the same time, nearly a third of all physicians who worked in the field of urology were classified as "non-Aryan" according to Nazi race laws and were forced out of their profession and their homeland. Many of them committed suicide or, if they refused to flee, were murdered in concentration camps. German urologists also contributed to compulsory sterilization of men according to the "law for the prevention of hereditarily diseased offspring" between 1934 and 1945. Historical sources on the history of urology in Nazi Germany were reviewed and analyzed. These include textbooks and medical journals from the 1930s and 1940s, as well as files from different state and university archives. For urologists, the changing political environment in Germany after 1933 offered possibilities to assert their personal and professional interests. Unfortunately, in many cases, moral principles were thrown overboard, and physicians advanced their own careers and the specialty of urology at the expense of their patients and their Jewish colleagues. Under national socialism, German urologists backed Nazi health and race policies and in exchange gained further professionalization for their specialty, including university positions and increased independence from surgery. Only in recent years has this chapter of German urology's past become a topic of debate among members of the professional society.

  17. German Unification and Its Ramifications

    Science.gov (United States)

    1991-01-01

    the postwar period in light of Germany’s past and the excesses perpetrated under National Socialism . Many Germans remain reluc- tant to adopt such a...generation, however, that grew up bearing the heavy burden of the crimes of National Socialism and the holocaust, and for whom nationalism and the

  18. Biochemistry in an Undergraduate Writing-Intensive First-Year Program: Seminar Courses in Drugs and Bioethics

    Science.gov (United States)

    Mills, Kenneth V.

    2015-01-01

    The College of the Holy Cross offers a universal first-year program called Montserrat, in which first-year students participate in a living-learning experience anchored by a yearlong seminar course. The seminar courses are part of a thematic cluster of four to eight courses; students in the cluster live together in a common dormitory and…

  19. Effects of a low intensity resistance training program in overweight/obese and pre menopausal/menopausal women

    Directory of Open Access Journals (Sweden)

    Rodrigo Ramirez Campillo

    2013-05-01

    Full Text Available Obesity-related complications may be compounded by the detrimental consequences of menopause. Strength training programs may have an impact on this relationship. Our objective was to examine strength (1RM and kinanthropometric alterations for overweight/obese pre- and menopausal women who participated in a strength program. Methods: 35 women were separated into: overweight premenopausal (n=8,obese premenopausal (n=9, overweight menopausal (n=8 and obese menopausal (n=10categories. Participants attended a strength program for 8 weeks. Kinanthropometric characteristics and 1RM were determined at baseline, week 4 (except 1RM and week 8. Results: All groups reduced (p< 0.05 body weight, body mass index (BMI, skinfolds and waist circumference. Furthermore, all groups achieved an increase (p< 0.05 in 1RM. When grouped per menopausal state or BMI, a more significant increase in strength was seen in menopausal and obese subjects. A significant correlation was observed for menopausal state, BMI and strength. The strength changes were significantly superior vs. kinanthropometric changes. Within kinanthropometric changes, skinfolds exhibit amore significant reduction vs. body weight, BMI and waist circumference. Conclusions: all groups showed changes in strength and kinanthropometric parameters. Strength adaptations were superior in menopausal and obese women. The strength adaptations exhibit a superior magnitude vs. kinanthropometric changes. In short term, a strength program may lead.

  20. Connecting Students to Nature--How Intensity of Nature Experience and Student Age Influence the Success of Outdoor Education Programs

    Science.gov (United States)

    Braun, Tina; Dierkes, Paul

    2017-01-01

    Nature connectedness counts as a crucial predictor of pro-environmental behavior. For counteracting today's environmental issues a successful re-connection of individuals to nature is necessary. Besides the promotion of knowledge transfer the aim of the educational program presented in this study is to connect students to their environment. This…

  1. Results of the Students’ Lecturer Evaluations and Evaluations of Their Own Learning-Outcomes in Accordance with the Bologna Process in German as a Second Foreign Language Program (G2FL

    Directory of Open Access Journals (Sweden)

    B. Sevinç Mesbah

    2013-04-01

    Full Text Available Purpose of the Study: While preparing for the Bologna process at our university, student involvement was essential. During the university-wide, end of semester survey, students were asked to evaluate their instructors as well as their individual learning outcomes. Our goal, in the Department of G2FL, was to quantitatively analyze the survey results, the effectiveness of the Department’s language teaching methods and ultimately to ascertain student learning outcomes.Methods: In the first part of the survey, students evaluated their instructors. They answered 15 questions using a five-point scale. In the second part of the survey, they evaluated their own learning outcomes in five language competencies. The data obtained from the students’ evaluation were qualitatively analized by the German Department.Findings: Based on the survey results, the G2FL Department scored higher than the entire university. Most of the students rated themselves good/very good in listening, reading, and writing skills. However, they gave themselves lower marks in the two-way conversation and the oral explanation competencies.Discussions: After the survey, the opinions of 778 students in German Language courseswere evaluated by 12 German Language Lecturers. Finally, the opinions of both studentsand instructors were analyzed by the Department Head.Conclusion: We concluded that our teaching strategy should include a greater emphasis onimproving student conversational competency in German. As such, this year-end surveyidentifies essential learning, concomitantly, the teaching of specific competencies. Once theresults are analyzed in detail, they are very useful for improving the quality of teaching aswell as learning.

  2. Layers of root nouns in Germanic

    DEFF Research Database (Denmark)

    Hansen, Bjarne Simmelkjær Sandgaard

    2017-01-01

    The root-noun declension became productive in early Germanic, containing (I) inherited root nouns, (IIa) original substrate or loan words, and transitions from other declensions in (IIb) Proto-Germanic and (III) North Germanic. As ablaut was abolished, the inherited type would display ablaut grad...

  3. The Foreign Workers and Foreign Workers' German.

    Science.gov (United States)

    Blackshire-Belay, Carol

    Foreign Workers' German (FWG) refers to the acquired German language skills of workers from various countries who were recruited to West Germany between 1955 and 1973 to fill menial, undesirable jobs. Contact between these workers and native German speakers was limited because of the nature of the foreigners' work, the tendency toward residential…

  4. Enriching the Curriculum with Pennsylvania German

    Science.gov (United States)

    Meindl, Joerg

    2016-01-01

    The German classroom should prepare students for the linguistic diversity of the target culture, including regional varieties and German spoken outside of the D-A-CH region. Because textbooks do not often include materials on regional varieties, this article presents a model to incorporate Pennsylvania German (PG) into the curriculum. The model…

  5. Randomized controlled trial on the effects of a supervised high intensity exercise program in patients with a hematologic malignancy treated with autologous stem cell transplantation : Results from the EXIST study

    NARCIS (Netherlands)

    Persoon, S.; ChinAPaw, M.J.M.; Buffart, L.M.; Liu, R.D.K.; Wijermans, P.; Koene, H.R.; Minnema, M.C.; Lugtenburg, P.J.; Marijt, E.W.A.; Brug, J.; Nollet, F.; Kersten, M.J.

    2017-01-01

    Background This single blind, multicenter randomized controlled trial aimed to evaluate the effectiveness of a supervised high intensity exercise program on physical fitness and fatigue in patients with multiple myeloma or lymphoma recently treated with autologous stem cell transplantation. Methods

  6. Lexical Ways of Expressing Explicit Politeness in German Linguoculture

    Directory of Open Access Journals (Sweden)

    Рафаэль Аркадьевич Газизов

    2014-12-01

    Full Text Available The article deals with lexical ways of expressing explicit politeness forms in the German linguocultural community. Speech acts of greeting, saying good-bye, apologizing, thanking, requesting, giving advice, offering help and making invitations are used to analyze most frequent means of realization of explicit politeness, the latter acting in verbal communication as a graded phenomenon. The use of modal and introductory verbs, modal particles, adjectives, adverbs, distant and contact communication forms, specific politeness modificators are demonstrated to be most common lexical means of expressing the type of politeness under consideration. Frequency of use of different parts of speech in the structure of etiquette formulas in German allows us to situate politeness at one or another level (high - medium - low i. e. etiquette units implement the category of explicit politeness with various degrees of intensity. The use of the forms expliciting varoius levels of politeness is connected with communicants' specific intentions, such as paying attention, showing interest, mitigating imposition, and implying further incentive to act. The German linguocultural community is characterized by frequent use of neutral forms of expressive speech acts and stylistically elevated forms of incentive statements representing undogmatic and nonurgent forms. To conclude, specific national peculiarities of explicit politeness in German liguoculture are formulated.

  7. Status and distribution of the lynx in the German Alps

    Directory of Open Access Journals (Sweden)

    Petra Kaczensky

    1998-09-01

    Full Text Available Abstract The lynx (Lynx lynx had been eradicated in the German Alps by the middle of the 19th century. Since the early 1970s there have been several attempts to initiate the re-introduction of lynx into the German Alps, but none of the projects could be carried out because of the still very controversial attitudes towards the species, and because of competition between institutions. Natural re-colonization of the German Alps by lynx can be expected sooner or later from Switzerland or Austria. Although lynx are already present in some parts of Germany outside the Alps, neither an organized monitoring system nor compensation regulations for losses of livestock exist. For a successful comeback of lynx into Germany, including the German Alps, more efforts than a year-round protection by the federal hunting law is needed. Initiative management actions and intensive public education are necessary to obtain and secure public acceptance of the lynx.

  8. The Ideas of 1914 – German Intellectuals and the Legitimation of the German Reich's Policy at the Beginning of the First World War

    Directory of Open Access Journals (Sweden)

    Mihael Antolović

    2016-04-01

    Full Text Available After the outbreak of the World War in august 1914, German intellectuals – university professors, writers, artists and publicists – gave an important contribution to the legitimation of the German Reich’s war aims. As a kind of ‘spiritual mobilization’ for the sake of the defense of the fatherland from the allied enemies, they engaged in intense publicity and propaganda activities whose goal was to show the responsibility of the opponent countries for the outbreak of the war as well as to prove that Germany was fighting a just war for its national survival. The  ideological justification of the German war aims formulated in the so called ‘ideas of 1914’ rested on several motives. First, the  French revolution and its entire political, social and conceptual inheritance were discarded. The revolutionary transformation of society, the  theory of natural law, the liberal and democratic ideology and the  parliamentary system consider to be inappropriate to ‘German national spirit’, German intellectuals argued for  the superiority of gradual social reforms, conservative social and political order and authoritarian political system embodied in the Hohenzollern monarchy. At the same time, they rejected the modern class society marked by the predominance of the  egoistic individual interests in favour of an allegedly harmonious ‘organic community’. Finally, they attributed some higher metaphysical meaning to the current war since it was conceived of as a battle for the preservation of the German culture understood as sublimation of highest spiritual achievements of the entire humanity, from the decadent materialistic civilization of Western Europe as well as ‘barbarian’ Russia. In that way, in the ‘ideas of 1914, German intellectuals expressed all elements about the peculiarities of German history (der deutsche Sonderweg thus giving ideological legitimacy  to the German Reich’s war endeavours and to its ‘grab for

  9. Effect of exercise programs with aerobic exercise sessions of similar intensity but different frequency and duration on health-related measures in overweight women.

    Science.gov (United States)

    Manthou, Eirini; Gill, Jason M; Malkova, Dalia

    2015-01-01

    This study investigated health-related effects of exercise programs with exercise sessions of similar intensity but different frequency and duration. Thirty-four overweight women were randomized into either long-bout (LB) or short-bout (SB) exercise groups. Participants performed an 8-week supervised program, with the LB group exercising for 75 minutes twice per week, and the SB group for 30 minutes on 5 days of the week. The LB group completed 16 sessions at a heart rate (HR) of 127 ± 1 beat·min-1 and the SB group completed 40 sessions at a HR of 126 ± 1 beat·min-1. Weekly energy expenditure of exercise was not different between groups (LB group, 5.64 ± 0.34 MJ; SB group, 5.83 ± 0.23 MJ). Training significantly (P exercise training did not differ between the SB and LB groups. Health-related outcomes of exercise programs with similar energy expenditure are independent of frequency and duration of exercise sessions. This provides individuals with a degree of flexibility in exercise program planning.

  10. Predictors of intensive care unit admission and mortality in patients with ischemic stroke: investigating the effects of a pulmonary rehabilitation program.

    Science.gov (United States)

    Güngen, Belma Doğan; Tunç, Abdulkadir; Aras, Yeşim Güzey; Gündoğdu, Aslı Aksoy; Güngen, Adil Can; Bal, Serdar

    2017-07-11

    The aim of this study was to investigate the predictors of intensive care unit (ICU) admission and mortality among stroke patients and the effects of a pulmonary rehabilitation program on stroke patients. This prospective study enrolled 181 acute ischemic stroke patients aged between 40 and 90 years. Demographical characteristics, laboratory tests, diffusion-weighed magnetic resonance imaging (DWI-MRI) time, nutritional status, vascular risk factors, National Institute of Health Stroke Scale (NIHSS) scores and modified Rankin scale (MRS) scores were recorded for all patients. One-hundred patients participated in the pulmonary rehabilitation program, 81 of whom served as a control group. Statistically, one- and three-month mortality was associated with NIHSS and MRS scores at admission and three months (pICU admission had a statistically significant relationship with parenteral nutrition (pICU admission (pICU admission. The relationship between pulmonary physiotherapy (PPT) and ICU admission- pneumonia onset at the end of three months was statistically significant (p=0.04 and p=0.043, respectively). This study showed that PPT improved the prognosis of ischemic stroke patients. We believe that a pulmonary rehabilitation program, in addition to general stroke rehabilitation programs, can play a critical role in improving survival and functional outcomes. NCT03195907 . Trial registration date: 21.06.2017 'Retrospectively registered'.

  11. The effects of four days of intensive mindfulness meditation training (Templestay program) on resilience to stress: a randomized controlled trial.

    Science.gov (United States)

    Hwang, Wu Jeong; Lee, Tae Young; Lim, Kyung-Ok; Bae, Dahye; Kwak, Seoyeon; Park, Hye-Yoon; Kwon, Jun Soo

    2017-08-29

    The interest in mindfulness meditation interventions has surged due to their beneficial effects in fostering resilience and reducing stress in both clinical and non-clinical populations. However, the relaxation benefits that may occur while practicing mindfulness meditation and long-term benefits of these interventions remain unclear. Fifty-one participants were recruited and randomized into the experimental and control groups, which underwent 4 days of Intensive Meditation (Templestay program, n = 33) and Relaxation (Control, n = 18), respectively. The self-report measures of Cognitive and Affective Mindfulness Scale-Revised (CAMS) and the modified Korean version of the Resilience Quotient Test (RQT) were administered pre-, post- and 3 months after the intervention to measure participants' levels of mindfulness and resilience. Participants in both the Templestay program and Control groups showed significant increases in their scores on CAMS and RQT after completing the program. During the 3-month follow-up, a significant interaction effect of the intervention method and time was revealed for the individuals' CAMS and RQT scores. Our findings support the hypothesis that while relaxation practices may have certain stress reduction effects, the effects are predominantly mediated by the mindfulness meditation practice. Furthermore, the long-term benefits of increased resilience observed in the Templestay program group suggest that the practice may be a possible treatment strategy in clinical populations, such as patients with depression and anxiety.

  12. MR thermometry analysis program for laser- or high-intensity focused ultrasound (HIFU)-induced heating at a clinical MR scanner

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Eun Ju; Jeong, Ki Young; Oh, Seung Jae; Park, Eun Hae; Lee, Young Han; Suh, Jin Suck [Yonsei University College of Medicine, Seoul (Korea, Republic of); Kim, Dae Hong [National Cancer Center, Goyang (Korea, Republic of)

    2014-12-15

    Magnetic resonance (MR) thermometry is a noninvasive method for monitoring local temperature change during thermal therapy. In this study, a MR temperature analysis program was established for a laser with gold nanorods (GNRs) and high-intensity focused ultrasound (HIFU)-induced heating MR thermometry. The MR temperature map was reconstructed using the water proton resonance frequency (PRF) method. The temperature-sensitive phase difference was acquired by using complex number subtraction instead of direct phase subtraction in order to avoid another phase unwrapping process. A temperature map-analyzing program was developed and implemented in IDL (Interactive Data Language) for effective temperature monitoring. This one program was applied to two different heating devices at a clinical MR scanner. All images were acquired with the fast spoiled gradient echo (fSPGR) pulse sequence on a 3.0 T GE Discovery MR750 scanner with an 8-channel knee array coil or with a home-built small surface coil. The analyzed temperature values were confirmed by using values simultaneously measured with an optical temperature probe (R{sup 2} = 0.996). The temperature change in small samples induced by a laser or by HIFU was analyzed by using a raw data, that consisted of complex numbers. This study shows that our MR thermometry analysis program can be used for thermal therapy study with a laser or HIFU at a clinical MR scanner. It can also be applied to temperature monitoring for any other thermal therapy based on the PRF method.

  13. The Economic Impact of Intensive Care Management for High-Cost Medically Complex Patients: An Evaluation of New Mexico's Care One Program.

    Science.gov (United States)

    Horn, Brady P; Crandall, Cameron; Moffett, Maurice; Hensley, Michael; Howarth, Sam; Binder, Douglas S; Sklar, David

    2016-12-01

    High-cost, medically complex patients have been a challenging population to manage in the US health care system, in terms of both improving health outcomes and containing costs. This paper evaluated the economic impact of Care One, an intensive care management program (data analysis, evaluation, empanelment, specialist disease management, nurse case management, and social support) designed to target the most expensive 1% of patients in a university health care system. Data were collected for a cohort of high-cost, medically complex patients (N = 753) who received care management and a control group (N = 794) of similarly complex health system users who did not receive access to the program. A pre-post empirical model estimated the Care One program to be associated with a per-patient reduction in billed charges of $92,227 (95% confidence interval [CI]: $83,988 to $100,466). A difference-in-difference model, which utilized the control group, estimated a per-patient reduction in billing charges of $44,504 (95% CI: $29,195 to $59,813). Results suggest that care management for high-cost, medically complex patients in primary care can reduce costs compared to a control group. In addition, significant reversion to the mean is found, providing support for the use of a difference-in-difference estimator when evaluating health programs for high-cost, medically complex patients.

  14. The Effect of a 12-Week Moderate Intensity Interval Training Program on the Antioxidant Defense Capability and Lipid Profile in Men Smoking Cigarettes or Hookah: A Cohort Study

    Directory of Open Access Journals (Sweden)

    Abdessalem Koubaa

    2015-01-01

    Full Text Available Aim. To examine the impact of interval training program on the antioxidant defense capability and lipid profile in men smoking cigarettes or hookah unable or unwilling to quit smoking. Methods. Thirty-five participants performed an interval training (2 : 1 work : rest ratio 3 times a week for 12 weeks at an intensity of 70% of VO2max. All subjects were subjected to a biochemical test session before and after the training program. Results. The increase of total antioxidant status (TAS, glutathione peroxidase (GPx, and α-tocopherol, is significant only for cigarette smokers (CS and hookah smokers (HS groups. The decrease of malondialdehyde (MDA and the increase of glutathione reductase (GR are more pronounced in smokers groups compared to those of nonsmokers (NS. Superoxide dismutase (SOD increases in NS, CS, and HS groups by 10.1%, 19.5%, and 13.3%, respectively (P<0.001. Likewise, a significant improvement of high-density lipoprotein cholesterol (HDL-C and TC/HDL-C ratio was observed in CS and HS groups (P<0.05. Conclusion. Although the interval training program does not have a significant effect on blood lipid levels, it seems to be very beneficial in the defense and prevention programs of oxidative stress.

  15. Nursing intensive care skills training: a nurse led, short, structured, and practical training program, developed and tested in a resource-limited setting.

    Science.gov (United States)

    De Silva, A Pubudu; Stephens, Tim; Welch, John; Sigera, Chathurani; De Alwis, Sunil; Athapattu, Priyantha; Dharmagunawardene, Dilantha; Olupeliyawa, Asela; de Abrew, Ashwini; Peiris, Lalitha; Siriwardana, Somalatha; Karunathilake, Indika; Dondorp, Arjen; Haniffa, Rashan

    2015-04-01

    To assess the impact of a nurse-led, short, structured training program for intensive care unit (ICU) nurses in a resource-limited setting. A training program using a structured approach to patient assessment and management for ICU nurses was designed and delivered by local nurse tutors in partnership with overseas nurse trainers. The impact of the course was assessed using the following: pre-course and post-course self-assessment, a pre-course and post-course Multiple Choice Questionnaire (MCQ), a post-course Objective Structured Clinical Assessment station, 2 post-course Short Oral Exam (SOE) stations, and post-course feedback questionnaires. In total, 117 ICU nurses were trained. Post-MCQ scores were significantly higher when compared with pre-MCQ (P Nursing Intensive Care Skills Training was highly rated by participants and was effective in improving the knowledge of the participants. This sustainable short course model may be adaptable to other resource-limited settings. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Effect of a high-intensity exercise program on physical function and mental health in nursing home residents with dementia: an assessor blinded randomized controlled trial.

    Science.gov (United States)

    Telenius, Elisabeth Wiken; Engedal, Knut; Bergland, Astrid

    2015-01-01

    Dementia is among the leading causes of functional loss and disability in older adults. Research has demonstrated that nursing home patients without dementia can improve their function in activities of daily living, strength, balance and mental well being by physical exercise. The evidence on effect of physical exercise among nursing home patients with dementia is scarce and ambiguous. Thus, the primary objective of this study was to investigate the effect of a high intensity functional exercise program on the performance of balance in nursing home residents with dementia. The secondary objective was to examine the effect of this exercise on muscle strength, mobility, activities of daily living, quality of life and neuropsychiatric symptoms. This single blinded randomized controlled trial was conducted among 170 persons with dementia living in nursing homes. Mean age was 86.7 years (SD = 7.4) and 74% were women. The participants were randomly allocated to an intervention (n = 87) or a control group (n = 83). The intervention consisted of intensive strengthening and balance exercises in small groups twice a week for 12 weeks. The control condition was leisure activities. The intervention group improved the score on Bergs Balance Scale by 2.9 points, which was significantly more than the control group who improved by 1.2 points (p = 0.02). Having exercised 12 times or more was significantly associated with improved strength after intervention (pexercise group after the intervention, compared to the control group (p = 0.048). The results from our study indicate that a high intensity functional exercise program improved balance and muscle strength as well as reduced apathy in nursing home patients with dementia. ClinicalTrials.gov NCT02262104.

  17. Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: "While it's tough, it's useful".

    Science.gov (United States)

    Lindelöf, Nina; Lundin-Olsson, Lillemor; Skelton, Dawn A; Lundman, Berit; Rosendahl, Erik

    2017-01-01

    The objective of the study was to describe the views and experiences of participation in a high-intensity functional exercise (HIFE) program among older people with dementia in nursing homes. The study design was a qualitative interview study with 21 participants (15 women), aged 74-96, and with a Mini-Mental State Examination score of 10-23 at study start. The HIFE-program comprises exercises performed in functional weight-bearing positions and including movements used in everyday tasks. The exercise was individually designed, supervised in small groups in the nursing homes and performed during four months. Interviews were performed directly after exercise sessions and field notes about the sessions were recorded. Qualitative content analysis was used for analyses. The analysis revealed four themes: Exercise is challenging but achievable; Exercise gives pleasure and strength; Exercise evokes body memories; and Togetherness gives comfort, joy, and encouragement. The intense and tailored exercise, adapted to each participant, was perceived as challenging but achievable, and gave pleasure and improvements in mental and bodily strength. Memories of previous physical activities aroused and participants rediscovered bodily capabilities. Importance of individualized and supervised exercise in small groups was emphasized and created feelings of encouragement, safety, and coherence. The findings from the interviews reinforces the positive meaning of intense exercise to older people with moderate to severe dementia in nursing homes. The participants were able to safely adhere to and understand the necessity of the exercise. Providers of exercise should consider the aspects valued by participants, e.g. supervision, individualization, small groups, encouragement, and that exercise involved joy and rediscovery of body competencies.

  18. Effect of a high-intensity exercise program on physical function and mental health in nursing home residents with dementia: an assessor blinded randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Elisabeth Wiken Telenius

    Full Text Available Dementia is among the leading causes of functional loss and disability in older adults. Research has demonstrated that nursing home patients without dementia can improve their function in activities of daily living, strength, balance and mental well being by physical exercise. The evidence on effect of physical exercise among nursing home patients with dementia is scarce and ambiguous. Thus, the primary objective of this study was to investigate the effect of a high intensity functional exercise program on the performance of balance in nursing home residents with dementia. The secondary objective was to examine the effect of this exercise on muscle strength, mobility, activities of daily living, quality of life and neuropsychiatric symptoms.This single blinded randomized controlled trial was conducted among 170 persons with dementia living in nursing homes. Mean age was 86.7 years (SD = 7.4 and 74% were women. The participants were randomly allocated to an intervention (n = 87 or a control group (n = 83. The intervention consisted of intensive strengthening and balance exercises in small groups twice a week for 12 weeks. The control condition was leisure activities.The intervention group improved the score on Bergs Balance Scale by 2.9 points, which was significantly more than the control group who improved by 1.2 points (p = 0.02. Having exercised 12 times or more was significantly associated with improved strength after intervention (p<0.05. The level of apathy was lower in the exercise group after the intervention, compared to the control group (p = 0.048.The results from our study indicate that a high intensity functional exercise program improved balance and muscle strength as well as reduced apathy in nursing home patients with dementia.ClinicalTrials.gov NCT02262104.

  19. Word order in the Germanic languages

    DEFF Research Database (Denmark)

    Holmberg, Anders; Rijkhoff, Jan

    1998-01-01

    The Germanic branch of Indo-European consists of three main groups (Ruhlen 1987: 327):- East Germanic: Gothic, Vandalic, Burgundian (all extinct);- North Germanic (or: Scandinavian): Runic (extinct), Danish, Swedish, Norwegian, Icelandic, Faroese;- West Germanic: German, Yiddish, Luxembourgeois......, Dutch, Afrikaans, Frisian, English.Here we will only consider the languages that are currently spoken in geographical Europe. Thus Afrikaans, which is spoken in South Africa, and the extinct languages Gothic, Vandalic, Burgundian, and Runic will not be taken into account (but see e.g. König & van der...

  20. [German Urological Associations under National Socialism].

    Science.gov (United States)

    Krischel, M; Moll, F; Fangerau, H

    2011-09-01

    The Deutsche Gesellschaft für Urologie (German Urological Association), established in 1907, was a German-Austrian medical society in which Jewish physicians held important positions. When the Nazis seized power in 1933, the Austrian Hans Rubritius was president of the society. The non-German presidency and the exclusion of Jewish colleagues from the professional society and medical practice led to a halt of the society's activities. At the same time in the mid 1930s, German urologists founded the Gesellschaft Reichsdeutscher Urologen (Association of Reichs-German Urologists) whose members aligned themselves with Nazi health policies and in turn received professional and personal benefits.

  1. Impact of an educational program on nursing students' caring and self-perception in intensive clinical training in Jordan.

    Science.gov (United States)

    Khouri, Rawda

    2011-01-01

    Framing and development of clinical skills in nursing students during their clinical practice is critical because this can shape their future caring skills. Professional caring empowers patients and contributes to their well-being and health. Education may enhance the capacity of nurses to be effective caring practitioners. Their study program encourages caring behavior in nursing students, consequently affecting their professional self-perception. The present study investigated the effect of an educational program on caring behavior and professional self-perception in nursing students using a controlled pre/post test study design. The study sample consisted of 50 nursing students undertaking their final year in 2010-2011. Subjects were randomly assigned to either an experimental or a control group. The study was conducted in two critical care units affiliated to the Ma'an and Queen Rania hospitals in the south of Jordan. The instruments utilized were the Caring Dimensions Inventory, Nursing Students Attitude Observational Checklist, and Professional Self-Concept of Nurses Instrument. The study findings favor the effect of the educational program because there was increased knowledge and understanding of caring theory and related concepts, a more holistic approach to care, enhanced caring practices, and improved self-perception in the study group compared with the control group during different periods of assessment. The study group showed significantly better caring perception in psychological, technical, and professional terms than the control group during different periods of assessment. There was a significant positive trend of overall professional self-perception for the study group compared with the control group. Nursing curricula should incorporate concepts and principles that guide students in developing caring, safe, competent, and professional behavior. Nursing students must seek educational opportunities to acquire knowledge for role preparation, to

  2. Impact of an educational program on nursing students’ caring and self-perception in intensive clinical training in Jordan

    Directory of Open Access Journals (Sweden)

    Khouri RI

    2011-06-01

    Full Text Available Rawda KhouriAl Hussein Bin Talal University, Princess Aisha Bint Al Hussein College Of Nursing, Ma’an, JordanBackground: Framing and development of clinical skills in nursing students during their clinical practice is critical because this can shape their future caring skills. Professional caring empowers patients and contributes to their well-being and health. Education may enhance the capacity of nurses to be effective caring practitioners. Their study program encourages caring behavior in nursing students, consequently affecting their professional self-perception.Methods: The present study investigated the effect of an educational program on caring behavior and professional self-perception in nursing students using a controlled pre/post test study design. The study sample consisted of 50 nursing students undertaking their final year in 2010–2011. Subjects were randomly assigned to either an experimental or a control group. The study was conducted in two critical care units affiliated to the Ma’an and Queen Rania hospitals in the south of Jordan. The instruments utilized were the Caring Dimensions Inventory, Nursing Students Attitude Observational Checklist, and Professional Self-Concept of Nurses Instrument.Results: The study findings favor the effect of the educational program because there was increased knowledge and understanding of caring theory and related concepts, a more holistic approach to care, enhanced caring practices, and improved self-perception in the study group compared with the control group during different periods of assessment. The study group showed significantly better caring perception in psychological, technical, and professional terms than the control group during different periods of assessment. There was a significant positive trend of overall professional self-perception for the study group compared with the control group.Conclusion: Nursing curricula should incorporate concepts and principles that guide

  3. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... When using relative intensity, people pay attention to how physical activity affects their heart rate and breathing. ... Malnutrition State and Local Programs File Formats Help: How do I view different file formats (PDF, DOC, ...

  4. Network migration of ethnic Germans.

    Science.gov (United States)

    Bauer, T; Zimmermann, K F

    1997-01-01

    "This study has argued that network migration is central to actual migratory movements, which suggests that its determinants should be carefully investigated. The analysis demonstrates that the network behavior of ethnic Germans can be explained, to a large degree, by observable characteristics. Two crucial variables were investigated, namely the connections to friends from the country of origin and the settlement close to relatives and friends. East Europeans, especially from Rumania, are significantly more connected to friends from the same country of origin than are East Germans. These connections strongly decline with duration of residence and presence in rural areas. Older people are more likely to settle close to friends or relatives at the time of immigration. Population density increases, education, length of stay in a reception camp, and per capita government expenditures decrease the likelihood of such a settlement." excerpt

  5. German cross-cultural psychology

    OpenAIRE

    Trommsdorff, Gisela

    1986-01-01

    The present study deals with German-language cross-cultural research in different fields of psychology which attempts to achieve one Or more goals of cross-cultural psychology. First, methodological problems are discussed, followed by a selective presentation of cross-cultural research in personality, clinical, ethological, developmental, and social psychology. The theoretical and methodological advancement of these studies is investigated with respect to four approaches - universals in cross...

  6. The desirability of an Intensive Care Unit (ICU) clinician-led bereavement screening and support program for family members of ICU Decedents (ICU Bereave).

    Science.gov (United States)

    Downar, James; Barua, Reeta; Sinuff, Tasnim

    2014-04-01

    Many bereaved family members (FMs) of intensive care unit decedents experience symptoms of complicated grief (CG) or social distress, but there is no standard screening or follow-up for these individuals. We determined the desirability and need for an intensive care unit-based bereavement screening and support program for these FMs. We surveyed bereaved FMs to measure symptoms of CG, prolonged grief disorder, and social difficulties and the desire for support; and staff physicians and nurses at 2 teaching hospitals in Toronto, Canada, to determine comfort and interest in providing routine bereavement support. We could not contact 69% of FMs largely because of inaccuracies in the patient record. Of the 64 who were contacted, 32 (50%) agreed to be surveyed a mean (SD) of 7.4 (2.2) months after the loss of their relative. Among eligible staff, 57 (61%) of 94 completed the questionnaire. Nine (28%) FMs met subthreshold criteria for CG or prolonged grief disorder, and 7 (22%) met criteria for social distress. Only 10 (31%) had received professional support for emotional symptoms, and 2 (6%) received professional assistance for their social difficulties. Fifty-eight percent supported routine screening, and 68% wanted to receive (or receive more) support. Fifty-five percent of FMs expressed a strong willingness to meet with the medical team to review events surrounding the death of the patient, which was the type of support that the health care staff were most comfortable providing. Most staff (85%) reported providing emotional support at the time of death, but few provided any support afterwards. Fifty-six (98%) of 57 would be willing to support or participate in a formal bereavement screening and support program. Respondents cited the need for training and dedicated time to carry out such a program. An ICU-based bereavement screening and support program for FMs of ICU decedents is both needed and desirable, although there are important needs and barriers. Future studies

  7. Development and Evaluation of a Continuing Education Program for Nursing Technicians at a Pediatric Cardiac Intensive Care Unit in a Developing Country.

    Science.gov (United States)

    Borim, Bruna Cury; Croti, Ulisses A; Silveira, Patricia C; De Marchi, Carlos H; Moscardini, Airton C; Hickey, Patricia; Jenkins, Kathy

    2017-11-01

    The nursing profession faces continuous transformations demonstrating the importance of professional continuing education to extend knowledge following technological development without impairing quality of care. Nursing assistants and technicians account for nearly 80% of nursing professionals in Brazil and are responsible for uninterrupted patient care. Extensive knowledge improvement is needed to achieve excellence in nursing care. The objective was to develop and evaluate a continuing education program for nursing technicians at a pediatric cardiac intensive care unit (PCICU) using a virtual learning environment entitled EDUCATE. From July to September 2015, a total of 24 nursing technicians working at the PCICU at a children's hospital located in the northwestern region of São Paulo state (Brazil) fully participated in the continuing education program developed in a virtual learning environment using Wix platform, allowing access to video classes and pre- and post-training theoretical evaluation questionnaires outside the work environment. The evaluation tools recorded participants' knowledge evolution, technological difficulties, educational, and overall rating. Knowledge development was descriptively presented as positive in more than 66.7%. Content and training were considered "excellent" by most participants and 90% showed an interest in the use of technological resources. Technical difficulties were found and quickly resolved by 40% of participants including Internet access, login, and lack of technical expertise. The continuing education program using a virtual learning environment positively contributed to the improvement in theoretical knowledge of nursing technicians in PCICU.

  8. Does a combined intervention program of repetitive transcranial magnetic stimulation and intensive occupational therapy affect cognitive function in patients with post-stroke upper limb hemiparesis?

    Directory of Open Access Journals (Sweden)

    Takatoshi Hara

    2016-01-01

    Full Text Available Low-frequency repetitive transcranial magnetic stimulation (LF-rTMS to the contralesional hemisphere and intensive occupational therapy (iOT have been shown to contribute to a significant improvement in upper limb hemiparesis in patients with chronic stroke. However, the effect of the combined intervention program of LF-rTMS and iOT on cognitive function is unknown. We retrospectively investigated whether the combined treatment influence patient's Trail-Making Test part B (TMT-B performance, which is a group of easy and inexpensive neuropsychological tests that evaluate several cognitive functions. Twenty-five patients received 11 sessions of LF-rTMS to the contralesional hemisphere and 2 sessions of iOT per day over 15 successive days. Patients with right- and left-sided hemiparesis demonstrated significant improvements in upper limb motor function following the combined intervention program. Only patients with right-sided hemiparesis exhibited improved TMT-B performance following the combined intervention program, and there was a significant negative correlation between Fugl-Meyer Assessment scale total score change and TMT-B performance. The results indicate the possibility that LF-rTMS to the contralesional hemisphere combined with iOT improves the upper limb motor function and cognitive function of patients with right-sided hemiparesis. However, further studies are necessary to elucidate the mechanism of improved cognitive function.

  9. Does a combined intervention program of repetitive transcranial magnetic stimulation and intensive occupational therapy affect cognitive function in patients with post-stroke upper limb hemiparesis?

    Science.gov (United States)

    Hara, Takatoshi; Abo, Masahiro; Kakita, Kiyohito; Masuda, Takeshi; Yamazaki, Ryunosuke

    2016-12-01

    Low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) to the contralesional hemisphere and intensive occupational therapy (iOT) have been shown to contribute to a significant improvement in upper limb hemiparesis in patients with chronic stroke. However, the effect of the combined intervention program of LF-rTMS and iOT on cognitive function is unknown. We retrospectively investigated whether the combined treatment influence patient's Trail-Making Test part B (TMT-B) performance, which is a group of easy and inexpensive neuropsychological tests that evaluate several cognitive functions. Twenty-five patients received 11 sessions of LF-rTMS to the contralesional hemisphere and 2 sessions of iOT per day over 15 successive days. Patients with right- and left-sided hemiparesis demonstrated significant improvements in upper limb motor function following the combined intervention program. Only patients with right-sided hemiparesis exhibited improved TMT-B performance following the combined intervention program, and there was a significant negative correlation between Fugl-Meyer Assessment scale total score change and TMT-B performance. The results indicate the possibility that LF-rTMS to the contralesional hemisphere combined with iOT improves the upper limb motor function and cognitive function of patients with right-sided hemiparesis. However, further studies are necessary to elucidate the mechanism of improved cognitive function.

  10. A randomised comparison of two forms of a brief, group, psychoeducational program for cancer patients: weekly sessions versus a "weekend intensive".

    Science.gov (United States)

    Cunningham, A J; Edmonds, C V; Jenkins, G; Lockwood, G A

    1995-01-01

    There is considerable evidence that brief group psychoeducational programs for cancer patients, offering support and some training in coping skills, may have lasting beneficial effects on mood and quality of life. To compare two different formats of a brief, group psychoeducational program for cancer patients; a standard format of six weekly two-hour sessions or a "weekend intensive," involving the same content and contact time compressed into two days. Cancer patients were randomly assigned to either the standard weekly intervention (n = 77) or the weekend program (n = 79). Two assessment measures were used: Profile of Mood States (POMS) and Functional Living Index for Cancer (FLIC). Assessments were made before and after each intervention and at a nineteen-week follow-up. While the two formats were found to be equivalent in their overall effects on mood and quality of life, there were some differences. There was a sudden, large improvement in mood by the end of the weekend version of the course (2-day time point) but this did not persist, and by the six-week point and again at nineteen-weeks, mood improvement was the same for both groups. Quality of life improvement seemed to be marginally greater with the six-weekly sessions (reaching statistical significance at the 6-week point). The two formats produced similar improvements in both mood and quality of life. We discuss the need for further studies to find optimal ways of presenting such help for different patient groups.

  11. Cooperative and competitive concurrency in scientific computing. A full open-source upgrade of the program for dynamical calculations of RHEED intensity oscillations

    Science.gov (United States)

    Daniluk, Andrzej

    2011-06-01

    problems of this type, the computational and threading layers of the project have been implemented in the form of one design pattern as a part of Model-View-Controller architecture. Reasons for new version: Responding to the users' feedback the Growth09 project has been upgraded to a standard that allows the carrying out of sample computations of the RHEED intensities for a disordered surface for a wide range of single- and epitaxial hetero-structures. The design pattern on which the project is based has also been improved. It is shown that this model can be effectively used for multithreaded growth simulations of thin epitaxial layers and corresponding RHEED intensities for a wide range of single- and hetero-structures. Responding to the users' feedback the present release has been implemented using a well-documented free compiler [1] not requiring the special configuration and installation additional libraries. Summary of revisions: The logical structure of the Growth09 program has been modified according to the scheme showed in Fig. 1. The class diagram in Fig. 1 is a static view of the main platform-specific elements of the GrowthCP architecture. Fig. 2 provides a dynamic view by showing the creation and destruction simplistic sequence diagram for the process. The program requires the user to provide the appropriate parameters in the form of a knowledge base for the crystal structures under investigation. These parameters are loaded from the parameters. ini files at run-time. Instructions to prepare the .ini files can be found in the new distribution. The program enables carrying out different growth models and one-dimensional dynamical RHEED calculations for the fcc lattice with basis of three-atoms, fcc lattice with basis of two-atoms, fcc lattice with single atom basis, Zinc-Blende, Sodium Chloride, and Wurtzite crystalline structures and hetero-structures, but yet the Fourier component of the scattering potential in the TRHEEDCalculations.crystPotUgXXX() procedure

  12. Effects of a High-Intensity Functional Exercise Program on Dependence in Activities of Daily Living and Balance in Older Adults with Dementia.

    Science.gov (United States)

    Toots, Annika; Littbrand, Håkan; Lindelöf, Nina; Wiklund, Robert; Holmberg, Henrik; Nordström, Peter; Lundin-Olsson, Lillemor; Gustafson, Yngve; Rosendahl, Erik

    2016-01-01

    To investigate the effects of a high-intensity functional exercise program on independence in activities of daily living (ADLs) and balance in older people with dementia and whether exercise effects differed between dementia types. Cluster-randomized controlled trial: Umeå Dementia and Exercise (UMDEX) study. Residential care facilities, Umeå, Sweden. Individuals aged 65 and older with a dementia diagnosis, a Mini-Mental State Examination score of 10 or greater, and dependence in ADLs (N=186). Ninety-three participants each were allocated to the high-intensity functional exercise program, comprising lower limb strength and balance exercises, and 93 to a seated control activity. Blinded assessors measured ADL independence using the Functional Independence Measure (FIM) and Barthel Index (BI) and balance using the Berg Balance Scale (BBS) at baseline and 4 (directly after intervention completion) and 7 months. Linear mixed models showed no between-group effect on ADL independence at 4 (FIM=1.3, 95% confidence interval (CI)=-1.6-4.3; BI=0.6, 95% CI=-0.2-1.4) or 7 (FIM=0.8, 95% CI=-2.2-3.8; BI=0.6, 95% CI=-0.3-1.4) months. A significant between-group effect on balance favoring exercise was observed at 4 months (BBS=4.2, 95% CI=1.8-6.6). In interaction analyses, exercise effects differed significantly between dementia types. Positive between-group exercise effects were found in participants with non-Alzheimer's dementia according to the FIM at 7 months and BI and BBS at 4 and 7 months. In older people with mild to moderate dementia living in residential care facilities, a 4-month high-intensity functional exercise program appears to slow decline in ADL independence and improve balance, albeit only in participants with non-Alzheimer's dementia. © 2016 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

  13. Effects of a High-Intensity Functional Exercise Program on Dependence in Activities of Daily Living and Balance in Older Adults with Dementia

    Science.gov (United States)

    Toots, Annika; Littbrand, Håkan; Lindelöf, Nina; Wiklund, Robert; Holmberg, Henrik; Nordström, Peter; Lundin-Olsson, Lillemor; Gustafson, Yngve; Rosendahl, Erik

    2016-01-01

    Objectives To investigate the effects of a high-intensity functional exercise program on independence in activities of  daily living (ADLs) and balance in older people with dementia and whether exercise effects differed between dementia types. Design Cluster-randomized controlled trial: Umeå Dementia and Exercise (UMDEX) study. Setting Residential care facilities, Umeå, Sweden. Participants Individuals aged 65 and older with a dementia diagnosis, a Mini-Mental State Examination score of 10 or greater, and dependence in ADLs (N = 186). Intervention Ninety-three participants each were allocated to the high-intensity functional exercise program, comprising lower limb strength and balance exercises, and 93 to a seated control activity. Measurements Blinded assessors measured ADL independence using the Functional Independence Measure (FIM) and Barthel Index (BI) and balance using the Berg Balance Scale (BBS) at baseline and 4 (directly after intervention completion) and 7 months. Results Linear mixed models showed no between-group effect on ADL independence at 4 (FIM=1.3, 95% confidence interval (CI)=−1.6–4.3; BI=0.6, 95% CI=−0.2–1.4) or 7 (FIM=0.8, 95% CI=−2.2–3.8; BI=0.6, 95% CI=−0.3–1.4) months. A significant between-group effect on balance favoring exercise was observed at 4 months (BBS=4.2, 95% CI=1.8–6.6). In interaction analyses, exercise effects differed significantly between dementia types. Positive between-group exercise effects were found in participants with non-Alzheimer's dementia according to the FIM at 7 months and BI and BBS at 4 and 7 months. Conclusion In older people with mild to moderate dementia living in residential care facilities, a 4-month high-intensity functional exercise program appears to slow decline in ADL independence and improve balance, albeit only in participants with non-Alzheimer's dementia. PMID:26782852

  14. [Differences between Eastern European immigrants of German origin and the rest of the German population in health status, health care use and health behaviour: a comparative study using data from the KORA-Survey 2000].

    Science.gov (United States)

    Aparicio, Mary Luz; Döring, Angela; Mielck, Andreas; Holle, Rolf

    2005-01-01

    Differences between Eastern European immigrants of German origin and the rest of the German population in health status, health care use and health behaviour: a comparative study using data from the KORA-Survey 2000 To identify differences in health status, health care use and health behaviour between Eastern European immigrants of German origin and the rest of the German population in order to develop new concepts for preventive programs. Using data from the KORA-Survey 2000 (Cooperative Health Research in the Region of Augsburg), immigrants of German origin were compared to the rest of the German population with multiple regression models controlling for sex, age, living with partner, years of education and occupation. Tests of trend were performed for the groups classified according to the year of immigration. Compared to other Germans, immigrants of German origin consider their health status more often as poor. They were more likely to be obese (OR = 1.95) and have hyperlipidemia (total-cholesterol/HDL-C > 4: OR = 1.71). They were less likely to use cancer screening (OR = 0.41) or to perform sport activities (OR = 0.47). All these differences decrease with the length of residence in Germany. Concerning their health status, Eastern European immigrants of German origin were identified as a high risk group. They should be considered for specific preventive programs and health care interventions, especially during the first years of immigration.

  15. German-Chinese cooperative Bachelor in engineering physics/optoelectronics

    Science.gov (United States)

    Wick, Michael; Lindner, Gerhard; Zimmer, Katja; Zheng, Jihong; Xu, Boqing; Wang, Ning; Schreiner, Rupert; Fuhrmann, Thomas; Seebauer, Gudrun

    2017-08-01

    The University of Shanghai for Science and Technology (USST), the Coburg University of Applied Sciences and Arts (CUASA) and the OTH Regensburg, University of Applied Sciences (OTHR) established an English taught international cooperative bachelor program in the area of Engineering Physics/Optoelectronics. Students from China study their first four semesters at USST. They continue their studies in Germany for the last three semesters, including an internship and a bachelor thesis, graduating with a Chinese and a German bachelor degree. Students from Germany study their third and fourth semester at USST to gain international experience. While the first cohort of Chinese students is currently in Germany, the second cohort of German students is in Shanghai. Up to now the feedback regarding this study program is completely positive, thus it is planned to develop it further.

  16. Programming exercise intensity in patients on beta-blocker treatment: the importance of choosing an appropriate method.

    Science.gov (United States)

    Díaz-Buschmann, Isabel; Jaureguizar, Koldo Villelabeitia; Calero, Maria José; Aquino, Rosa Sánchez

    2014-12-01

    To verify the usefulness of current recommended level of target exercise heart rate (HR) and of different HR-based methods for calculating target HR in patients with and without beta-blocker treatment. We studied 53 patients not treated with beta-blocker and 159 patients on beta-blocker treatment. All patients underwent a maximal exercise test with gas analysis, and first ventilatory threshold (VT1 or aerobic threshold), second ventilatory threshold (VT2 or anaerobic threshold), time of exercise, maximum load, metabolic parameters, HR at rest (HRrest), HRpeak, HR at VT1 (HRVT1) and at VT2 (HRVT2), and 75, 80, and 85% of HRmax (HR75%, HR80%, HR85%) were calculated. Exercise HR was also determined using the Karvonen formula, applying 60, 70, and 80% of the heart rate reserve (HRR) (HRKarv0.6, HRKarv0.7, and HRKarv0.8). This study included 102 patients on a beta-blocker and 39 not treated with negative cronotropic effect drugs. Maximum load, metabolic parameters, HRrest, HRpeak, HRVT1, and HRVT2 were significantly lower in patients on beta-blocker treatment. The proportion of patients with a HR75%, HR80%, HR85%, ​​HRKarv0.6, HRKarv0.7, and HRKarv0.8 VT2 was very high and depended on whether patients were on beta-blocker treatment. Prescribed exercise intensity should be within VT1 and VT2, so that the efficacy and safety is guaranteed. If determining VT1 and VT2 is not possible, HR-based methods can be used, but with caution. In fact, there will be always a proportion of patients training below VT1 or above VT2. On the other hand, recommendations for patients on a beta-blocker should be different from patients not receiving a beta-blocker. Patients not treated with a beta-blocker should exercise at HRKarv0.7 or at HR85%. In patients on a beta-blocker, we recommend preferentially a target HR of HRKarv0.6 or HR80%. © The European Society of Cardiology 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  17. National bundle care program implementation to reduce ventilator-associated pneumonia in intensive care units in Taiwan.

    Science.gov (United States)

    Kao, Chin-Chuan; Chiang, Hsiu-Tzy; Chen, Chih-Yu; Hung, Ching-Tzu; Chen, Ying-Chun; Su, Li-Hsiang; Shi, Zhi-Yuan; Liu, Jein-Wei; Liu, Chang-Pan; Chuang, Yin-Ching; Ko, Wen-Chien; Chen, Yen-Hsu; Tseng, Shu-Hui; Lee, Chun-Ming; Lu, Min-Chi; Hsueh, Po-Ren

    2017-12-01

    This study investigated the impact of implementing ventilator-associated pneumonia (VAP) bundle care on the rates of VAP in intensive care units (ICUs) in Taiwan. A total of 10 ICUs (bed number, 170), including surgical (SICUs) (n = 7), cardiovascular/surgical (CV/S-ICUs) (n = 1), and medical ICUs (MICUs) (n = 2) from 10 hospitals (7 medical center hospitals and 3 regional hospitals) were enrolled in this quality-improvement project. This study was divided into the pre-intervention phase (1st January, 2012-31st July, 2013) and the intervention phase (1st August, 2013-31st October, 2014). Among the 10 hospitals, the overall rates (cases per 1000 ventilator-days) of VAP declined significantly (p = 0.005; rate ratio, 0.71) from 1.9 in the pre-intervention period to 1.5 in the intervention period. Significant difference in VAP rates between these periods was found in the regional hospitals (from 1.6 to 0.7; p < 0.001) and the SICUs (from 2.1 to 1.4; p < 0.001), but not in the medical centers (2.0 vs. 1.9; p = 0.0667) or CV/S-ICUs (4.5 vs. 4.5; p = 0.5391). However, VAP rate increased significantly (cases per 1000 ventilator-days) in the MICUs between the two periods (from 0.5 to 1.0; p = 0.0489). For the VAP bundle care elements, the overall compliance rate was 87.7% with 83.6% and 97.9% in the medical centers and regional hospitals, respectively. Implementing VAP bundle care has effectively reduced VAP in Taiwanese ICUs, but differences in performance and compliance rates of VAP bundle care among the different ICUs and hospital categories did exist. Copyright © 2017. Published by Elsevier B.V.

  18. History of German pediatric cardiology.

    Science.gov (United States)

    Heintzen, P

    2002-01-01

    Due to the isolation of German medicine in World War II accompanied by the destruction of many hospitals, German pediatricians did not show any serious interest in the treatment of children with congenital heart diseases, nor did they take notice of the progress achieved by Helen Taussig, Alfred Blalock and other cardiologists and surgeons in the western world. This problem was even worse in East Germany. Only a few German internists and forward-looking surgeons were able and ready to take care of this group of principally operable children in places like Bonn/Düsseldorf, Marburg/Munich, Berlin, and Hamburg. However, in the early 1950s some directors of pediatrics at university hospitals--largely motivated by the cardiac surgeons--allowed or even encouraged younger colleagues to concentrate on pediatric cardiology and to begin application of heart catheterization and angiocardiography. In 1960 a group of colleagues interested in pediatric cardiology met for the first time in Frankfurt and became the nucleus of the future "working group" (1969) and finally the "German Society of Pediatric Cardiology" (1974). By 1972 pediatric cardiology had been approved as an independent (sub)specialty. Colleagues and friends from surrounding countries (Austria, Great Britain, Sweden, Switzerland, and the Netherlands) and also from the US and some eastern countries were either members or regular guests during or between the meetings. Pediatric cardiology is now represented in Germany by specialized practitioners, trainees and assistants who work in both community and university hospitals, and in specialized departments. Due to the foresightedness of the Chief of Pediatrics, Prof. G. Joppich, the first Chair of Pediatric Cardiology was founded in Göttingen in 1960 under the direction of A. Beuren. Another model of interdisciplinary cooperation between pediatric cardiologists, bioengineers, mathematicians and computer scientists was established in Kiel in 1966. In other places

  19. Nosocomial outbreak of carbapenem-resistant Acinetobacter baumannii in intensive care units and successful outbreak control program.

    Science.gov (United States)

    Choi, Won Suk; Kim, Su Hyun; Jeon, Eun Gyong; Son, Myeung Hee; Yoon, Young Kyung; Kim, Jung-Yeon; Kim, Mi Jeong; Sohn, Jang Wook; Kim, Min Ja; Park, Dae Won

    2010-07-01

    Acinetobacter baumannii has been increasingly reported as a significant causative organism of various nosocomial infections. Here we describe an outbreak of carbapenem-resistant A. baumannii (CRAB) in the ICUs of a Korean university hospital, along with a successful outbreak control program. From October 2007 through July 2008, CRAB was isolated from 57 ICU patients. Nineteen patients were diagnosed as being truly infected with CRAB, four of whom were presumed to have died due to CRAB infection, producing a case-fatality rate of 21.1%. In surveillance of the environment and the healthcare workers (HCWs), CRAB was isolated from 24 (17.9%) of 135 environmental samples and seven (10.9%) of 65 HCWs. The pulsed field gel electrophoresis patterns showed that the isolates from patients, HCWs, and the environment were genetically related. Control of the outbreak was achieved by enforcing contact precautions, reducing environmental contamination through massive cleaning, and use of a closed-suctioning system. By August 2008 there were no new cases of CRAB in the ICUs. This study shows that the extensive spread of CRAB can happen through HCWs and the environmental contamination, and that proper strategies including strict contact precautions, massive environmental decontamination, and a closed-suctioning system can be effective for controlling CRAB outbreaks.

  20. Determination of the feasibility of a multicomponent intervention program to prevent delirium in the Intensive Care Unit: A modified RAND Delphi study.

    Science.gov (United States)

    Wassenaar, Annelies; van den Boogaard, Mark; Underpin-Icu Study Group; Schoonhoven, Lisette; Pickkers, Peter

    2017-01-10

    Delirium is common in Intensive Care Unit (ICU) patients and associated with poor outcome. In non-ICU patients a multicomponent intervention program with non-pharmacological interventions has shown to reduce delirium. Currently, there is insufficient evidence regarding the effects of such a program in ICU patients. We developed a draft program based on a review. As most studies were conducted in non-ICU patients, the feasibility of the program in ICU patients needs to be assessed before investigating its effectiveness. To determine experts' opinion and to achieve group consensus on the feasibility and completeness of the multicomponent intervention program for ICU patients. A modified RAND/UCLA Appropriateness Method Delphi study was used. A total of 38 experts were selected following purposive sampling. Round one informed the experts about the draft program and asked for their opinion about its feasibility and completeness. In round two the experts were asked to reconsider their opinion based on changes made, and to rank the interventions in order of importance. The feasibility was scored using a 9-point Likert scale. A disagreement index (DI) and panel median were calculated to determine the level of agreement. During Delphi round one 100% of the questionnaires was completed, during round two 79%. After two rounds the experts agreed on the feasibility of the interventions targeting sleep deprivation (panel median 7.00, DI 0.26), immobility (panel median 8.00, DI 0.22), visual and hearing impairment (panel median 8.00, DI 0.19), and cognitive impairment (panel median 8.00, DI 0.23), except for cognitive training (panel median 5.00, DI 0.52). During this study a feasible multicomponent intervention program to prevent ICU delirium was developed based on expert consensus. As no consensus was reached on cognitive training, a pilot study is planned to determine the feasibility of cognitive training in the ICU. Copyright © 2016 Australian College of Critical Care

  1. German Soldier and German Unity: Political Foundations of the German Armed Forces

    Science.gov (United States)

    1991-01-01

    soldier in National Socialism defies easy geTneralizations and the quick interpretation required of this kind of essay. Yet an understanding of this era of...and duty for what they iegarded as a just cause, there were many professional soldiers who identified with the pernicious aimis of National Socialism and...democracy long plagued German politics and society. The disaster of National Socialism exacerbated this long-standing problem and required military reforr

  2. THE COMPOSITE LEADING INDICATOR FOR GERMAN BUSINESS CYCLE

    Directory of Open Access Journals (Sweden)

    Tkacova Andrea

    2017-12-01

    Full Text Available Monitoring and predicting economic cycles have returned to the awareness of economists with the impact of the economic crisis in 2007/2008. To determine the current and future state of the country’s economic cycle, Composite Leading Indicators (CLI can be used. Their structure is being dealt with by institutions at the national and international level (OECD, Eurostat. Correct predictions of public finance development and the entrepreneurship sphere are very important for competitiveness of the country. The aim of the paper is to propose a new Composite Leading Indicator (CLI to monitor and predict the German economy. The analysis of 140 quantitative and qualitative indicators of industry, services, retail, construction, foreign trade, labor market, money aggregates, stock indices, confidence indicators, consumer expectations was performed for the needs of the indicator. As the reference series represents the German economic cycle, the GDP indicator is selected at constant prices for 2010. All selected quarterly time series are applied with seasonal index methods, the Hodrick-Prescott filter (HP filter in the R program, cross-correlation with time shifts, methods selection and scoring, data standardization, identification of the same and different data and the subsequent construction of the CLI of the German economic cycle. The generated CLI can predict the German economy cycle two quarters ahead with a cross-correlation value of 0.867. The forecasting capabilities of the assembled indicator were better than the prediction capabilities of OECD, Eurostat and IFO indicator.

  3. Clinical and Economic Impact of a Digital, Remotely-Delivered Intensive Behavioral Counseling Program on Medicare Beneficiaries at Risk for Diabetes and Cardiovascular Disease.

    Directory of Open Access Journals (Sweden)

    Fang Chen

    Full Text Available Type 2 diabetes and cardiovascular disease impose substantial clinical and economic burdens for seniors (age 65 and above and the Medicare program. Intensive Behavioral Counseling (IBC interventions like the National Diabetes Prevention Program (NDPP, have demonstrated effectiveness in reducing excess body weight and lowering or delaying morbidity onset. This paper estimated the potential health implications and medical savings of a digital version of IBC modeled after the NDPP.Participants in this digital IBC intervention, the Omada program, include 1,121 overweight or obese seniors with additional risk factors for diabetes or heart disease. Weight changes were objectively measured via participant use of a networked weight scale. Participants averaged 6.8% reduction in body weight within 26 weeks, and 89% of participants completed 9 or more of the 16 core phase lessons. We used a Markov-based microsimulation model to simulate the impact of weight loss on future health states and medical expenditures over 10 years. Cumulative per capita medical expenditure savings over 3, 5 and 10 years ranged from $1,720 to 1,770 (3 years, $3,840 to $4,240 (5 years and $11,550 to $14,200 (10 years. The range reflects assumptions of weight re-gain similar to that seen in the DPP clinical trial (lower bound or minimal weight re-gain aligned with age-adjusted national averages (upper bound. The estimated net economic benefit after IBC costs is $10,250 to $12,840 cumulative over 10 years. Simulation outcomes suggest reduced incidence of diabetes by 27-41% for participants with prediabetes, and stroke by approximately 15% over 5 years.A digital, remotely-delivered IBC program can help seniors at risk for diabetes and cardiovascular disease achieve significant weight loss, reduces risk for diabetes and cardiovascular disease, and achieve meaningful medical cost savings. These findings affirm recommendations for IBC coverage by the U.S. Preventive Services Task Force.

  4. Long-term effect of a low-intensity smoking intervention embedded in an adherence program for patients with hypercholesterolemia: Randomized controlled trial.

    Science.gov (United States)

    Muckelbauer, Rebecca; Englert, Heike; Rieckmann, Nina; Chen, Chih-Mei; Wegscheider, Karl; Völler, Heinz; Katus, Hugo A; Willich, Stefan N; Müller-Nordhorn, Jacqueline

    2015-08-01

    We evaluated the long-term effect of a smoking intervention embedded in an adherence program in patients with an increased risk for cardiovascular disease. Secondary analysis of a randomized controlled trial: In 2002-2004, 8108 patients with hypercholesterolemia were enrolled from general practices in Germany. Patients received a 12-month adherence program and statin medication (intervention) or statin medication only (control). The program aimed to improve adherence to medication and lifestyle by educational material, mailings, and phone calls. Smoking was self-reported at baseline and every 6months during the 3-year follow-up. In total, 7640 patients were analyzed. At baseline, smoking prevalence was 21.7% in the intervention and 21.5% in the control group. Prevalence decreased in both groups to 16.6% vs. 19.5%, 15.3% vs. 16.8%, and 14.2% vs. 15.6% at the 12-, 24-, and 36-month follow-up. The intervention had a beneficial effect on smoking differing over time (group×time: P=0.005). The effect was largest after 6 and 12months [odds ratios (95% confidence intervals): 0.67 (0.54-0.82) and 0.63 (0.51-0.78)]. The effect decreased until the 18-month follow-up [0.72 (0.58-0.90)] and was not significant after 24months. A low-intensity smoking intervention embedded in an adherence program can contribute to smoking cessation although the intervention effect diminished over time. ClinicalTrials.gov (www.clinicaltrials.gov): NCT00379249. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Six-week high-intensity exercise program for middle-aged patients with knee osteoarthritis: a randomized controlled trial [ISRCTN20244858

    Directory of Open Access Journals (Sweden)

    Roos Ewa M

    2005-05-01

    Full Text Available Abstract Background Studies on exercise in knee osteoarthritis (OA have focused on elderly subjects. Subjects in this study were middle-aged with symptomatic and definite radiographic knee osteoarthritis. The aim was to test the effects of a short-term, high-intensity exercise program on self-reported pain, function and quality of life. Methods Patients aged 36–65, with OA grade III (Kellgren & Lawrence were recruited. They had been referred for radiographic examination due to knee pain and had no history of major knee injury. They were randomized to a twice weekly supervised one hour exercise intervention for six weeks, or to a non-intervention control group. Exercise was performed at ≥ 60% of maximum heart rate (HR max. The primary outcome measure was the Knee injury and Osteoarthritis Outcome Score (KOOS. Follow-up occurred at 6 weeks and 6 months. Results Sixty-one subjects (mean age 56 (SD 6, 51 % women, mean BMI 29.5 (SD 4.8 were randomly assigned to intervention (n = 30 or control group (n = 31. No significant differences in the KOOS subscales assessing pain, other symptoms, or function in daily life or in sport and recreation were seen at any time point between exercisers and controls. In the exercise group, an improvement was seen at 6 weeks in the KOOS subscale quality of life compared to the control group (mean change 4.0 vs. -0.7, p = 0.05. The difference between groups was still persistent at 6 months (p = 0.02. Conclusion A six-week high-intensive exercise program had no effect on pain or function in middle-aged patients with moderate to severe radiographic knee OA. Some effect was seen on quality of life in the exercise group compared to the control group.

  6. An intensive social cognitive program (can do treatment) in people with relapsing remitting multiple sclerosis and low disability: a randomized controlled trial protocol.

    Science.gov (United States)

    Jongen, Peter Joseph; Heerings, Marco; Ruimschotel, Rob; Hussaarts, Astrid; Evers, Silvia; Duyverman, Lotte; Valkenburg-Vissers, Joyce; Cornelissen, Job; Bos, Michel; van Droffelaar, Maarten; Lemmens, Wim A; Donders, Rogier; van der Zande, Anneke; Visser, Leo H

    2016-05-28

    In people with multiple sclerosis (MS) disabilities and limitations may negatively affect self-efficacy. Lowered self-efficacy has been associated with decreases in health-related quality of life, physical activity and cognitive performance. In an explorative observational study we found that a 3-day intensive social cognitive program (Can Do Treatment [CDT]) with the participation of support partners was followed by substantial increases in self-efficacy control and health-related quality of life 6 months after treatment in those people with MS who had relapsing remitting disease and low disability. CDT is a sociologically oriented approach, its goal is to uncover and promote existing capabilities, and the notion "stressor" is the central concept. CDT's components are plenary group sessions, small group sessions, consultations, a theatre evening, and start of the day with a joint activity. The small group sessions form the actual training. Depending on their individual goals the participants join the training groups 'Body', 'Feeling' or 'Life', to work out their aims and to reduce their stressors. The multidisciplinary team includes a psychiatrist, psychiatric nurse, neurologist, specialized MS nurse, physiotherapist, dance therapist, and a person with MS. To evaluate the (cost)effectiveness of CDT in persons with relapsing remitting MS and low disability we perform a single-centre, randomized controlled trial in 140 patients, with or without support partners. The primary outcome is self-efficacy control. The secondary outcomes are self-efficacy function, health-related quality of life, autonomy and participation, anxiety, depression, cost effectiveness and cost utility. The tertiary outcome is care-related strain to support partners. Outcomes are assessed at baseline and at 1, 3 and 6 months after CDT. This randomized controlled trial will adequately evaluate the clinical and cost effectiveness of a 3-day intensive social cognitive program in people with

  7. Transferability of the German experience to South Korea

    OpenAIRE

    Hur, Joon-Young

    2010-01-01

    This research explores the West-German concepts and instruments relating to the integration of East German refugees from the end of World War II to the German reunification. The integration of East German refugees into the West German society was one of the most important topics in the German domestic politics and became possible through the engagement of the whole society. Against this background, this study pursues two goals. On one hand, social integration efforts for East German refu...

  8. Ethnic Identity and Language Variations of the Russian Germans in the Kirov Region

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    Olga Vladimirovna Baykova

    2016-11-01

    Full Text Available Currently, the process of globalization, intense intercultural contacts, changes in social structure, and internationalization of higher education influence inter-ethnic relations, ethnic identity, as well as language changes. These processes can be observed among the Russian-Germans living in the territory of the Kirov region. Their investigation started in 1999 and is currently going on. The relevance of the study is due to the significance of the linguistic interaction at the present stage of the German language development in Russia, where for decades the German language has been developing and changing in linguistic enclaves environment. In this regard, this paper aims to explore ethnic and linguistic identity of German bilinguals living in the environment of a foreign language, different dialect, or different confession in isolation from the main ethnic array. The leading methods in the study were socio-differentiated analysis, as well as comparative and statistical methods used while correlating the dialect systems under review to other German dialectal systems, literary German language, as well as with the Russian language. In the study, we came to the conclusion that the priority layer in the structure of the ethnic identity of Russian Germans in the Kirov region includes the following distinctive features: common territory, language, religion, family life, folklore, crafts, norms of behavior, common historical destiny and common psychological makeup. The language of the German ethnic minority, who live in the territory of the Kirov region, is unique and peculiar. It is characterized, above all, by mixed dialects in a foreign language environment and by a variety of their existing forms of. The paper is of practical value to scholars dealing with the German island dialects.

  9. Coursebook of German: Gender Aspect

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    Aleksandra Valeryevna Filippova

    2015-09-01

    Full Text Available The present article regards Aspekte 1 coursebook of German as a foreign language in the context of the gender policy initiated at the end of the last century by sociolinguists and by the representatives of the so called feminist criticism of the German language. This policy has been carried out up to date, and, according to many sociological and linguistic research, it is aimed at destructing gender stereotypes in teaching and reference materials. The use of this policy is conditioned by the fact that there is a problem of women discrimination in the textbooks, which provide classical gender stereotypes, where, in spite of modern social changes, women are still overrepresented in the private domain and underrepresented in the public sphere. Apart from that, gender stereotypes and gender asymmetry are embedded in the language, where the woman is often not referred to directly while the man is used in the generalizing meaning of "human". The gender asymmetry is reflected in the idioms as well. Nevertheless the analysis of modern coursebooks reveals both some changes in the presentation of women and men's occupations and in the language due to the usage of so-called "gender neutral" forms. The objective of our research lies in the linguistic analysis of the usage of the "gender neutral" forms as well as in the coursebooks on phraseology in order to find out gender asymmetries. In addition, the author focuses on gender stereotypes, men and women's behavioral patterns in different domains of life, and positive changes in the image of men and women represented in the Aspekte German coursebook.

  10. Upwards Intensifiers in the English, German and Croatian Language

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    Anita Pavić Pintarić

    2014-12-01

    Full Text Available This paper investigates the upwards intensifiers (adverbs of intensifying in the English, German and Croatian language. Intensity as an important human cognitive category, and language expressivity is differently treated in grammars and dictionaries of all three languages, especially with respect to different degrees of intensity. In this paper we argue that it is possible to model a typology of upwards adverb intensifiers in the three languages, according to their morphosyntactic and semantic aspects. When it comes to intensifiers, it is necessary to describe which collocates are modified by intensifiers and which semantic fields the collocates belong to. The results of the corpus analysis based on Harry Potter novels show that all the three languages express the category of the upwards intensity in the same way: the number of intensifiers is similar, the collocates mostly belong to the same semantic fields and word classes, they have similar syntactic functions.

  11. Reducing the risk of hypoglycemia associated with intravenous insulin: experience with a computerized insulin infusion program in 4 adult intensive care units.

    Science.gov (United States)

    Sandler, Victoria; Misiasz, Meaghan R; Jones, Jocelyn; Baldwin, David

    2014-09-01

    Computerized insulin infusion protocols have facilitated more effective blood glucose (BG) control in intensive care units (ICUs). This is particularly important in light of the risks associated with hypoglycemia. End stage renal disease (ESRD) increases the risk of insulin-induced hypoglycemia. We evaluated BG control in 210 patients in 2 medical ICUs and in 2 surgical ICUs who were treated with a computerized insulin infusion program (CIIP). Our CIIP was programmed for a BG target of 140-180 mg/dL for medical ICU patients or 120-160 mg/dL for surgical ICU patients. In addition, we focused on BG control in the 11% of our patients with ESRD. Mean BG was 147 ± 20 mg/dL for surgical ICU patients and 171 ± 26 mg/dL for medical ICU patients. Of both surgical and medical ICU patients, 17% had 1 or more BG 60-79 mg/dL, while 3% of surgical ICU and 8% of medical ICU patients had 1 or more BG ICU patients as compared with surgical ICU patients yielded comparably low rates of moderate or severe hypoglycemia. However, hypoglycemia among ESRD patients was more common compared to non-ESRD patients, suggesting a need for a higher BG target specific to ESRD patients. © 2014 Diabetes Technology Society.

  12. German Librarianship and Munich Libraries

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    Osman Ümit Özen

    1994-06-01

    Full Text Available There are 27 municipal libraries including the Central Public Library in Munich. The other important libraries in the city are Bayern State National Library, Maximillian University Library, a technical highschool library and the "Deutsches Musuem" Library. All these libraries are financed locally. The author introduces these libraries briefly and compares German libraries with Turkish libraries. He concludes that although theoretically there are not distinctive differences, in practice, buildings and their layout are better in Germany where more variety of services are offered. In Turkey standardization has not been realized yet. Turkey needs to computerize and network to improve the services offered in an efficient way.

  13. MUTIRÕES DE COLECISTECTOMIA POR VIDEOLAPAROSCOPIA EM REGIME DE CIRURGIA AMBULATORIAL INTENSIVE PROGRAM OF VIDEOLAPAROSCOPY CHOLECYSTECTOMY ON AN AMBULATORY SURGERY BASIS

    Directory of Open Access Journals (Sweden)

    J.S. Santos

    2001-01-01

    Full Text Available Introdução: As listas de espera para colecistectomia, associadas à elevada demanda dos leitos e salas cirúrgicas dos Hospitais Universitários, são incentivos para adoção de novos programas de assistência. Objetivo: Avaliar o processo de organização e os resultados clínicos dos Mutirões de Colecistectomia por Videolaparoscopia, em regime de Cirurgia Ambulatorial. Pacientes e Métodos: Dentre os 314 pacientes portadores de colelitíase sintomática que aguardavam cirurgia no HCFMRP-USP, 160 foram selecionados para tratamento em regime ambulatorial. Uma equipe multiprofissional, formada por cirurgiões, anestesistas, enfermeiros e assistentes sociais, programou 4 mutirões para serem realizados em fins de semana, em função da disponibilidade do bloco cirúrgico e da sala de recuperação pós-anestésica. Mediante avaliação retrospectiva, foram analisados 79 prontuários dos pacientes operados nos Mutirões I e II (Grupo A e 79 dos 80 operados nos Mutirões III e IV (Grupo B. Análise estatística: teste de Wilcoxon e exato de Fisher (pIntroduction: The growing list of patients awaiting cholecystectomy, together with the great demand for beds and operating rooms at University Hospitals have encouraged the adoption of different solutions. Objective: To evaluate the process of organization and the clinical results of intensive programs of cholecystectomy by videolaparoscopy on an ambulatory surgery basis. Methods: Among the 314 patients with symptomatic cholelithiasis who were waiting for surgery at HCFMRP-USP, 160 were selected for treatment on an ambulatory basis. A multiprofessional team consisting of surgeons, anesthesiologists, nurses and social workers scheduled 4 intensive programs to be performed on weekends according to the availability of the surgical block and of the post-anesthesia recovery room. In a retrospective evaluation, the authors analyzed 79 medical records of patients operated upon in the intensive programs I

  14. The Proto-Germanic n-stems

    DEFF Research Database (Denmark)

    Kroonen, Guus Jan

    The n-stems are an intriguing part of Proto-Germanic morphology. Unlike any other noun class, the n-stems have roots that are characterized by systematic consonant and vowel alternations across the different Germanic dialects. This monograph represents a diachronic investigation of this root...... variation. It traces back the Germanic n-stems to their Indo-European origin, and clarifies their formal characteristics by an interaction of sound law and analogy. This book therefore is not just an attempt to account for the typology of the Germanic n-stems, but also a case study of the impact that sound...

  15. German family policy at the crossroads

    DEFF Research Database (Denmark)

    Wüst, Miriam

    2009-01-01

    . Microsimulation helps to overcome these problems. It compares policy options - actual reforms or reform plans - simultaneously and provides a comparable measure: the disposable income of model families. This article uses a type-case approach to investigate recent reforms of the German parental leave benefit....... Simulation makes those reforms comparable over time and across countries. Results show that the profile of the German scheme is changing from "general family" towards "dual-earner" support. Furthermore, the recent reforms make the German scheme converge towards the Swedish leave scheme. The recent reforms...... introduce a new concept of fairness and a focus on gender equality to German family policies....

  16. Impact of an infection-control program on nurses' knowledge and attitude in pediatric intensive care units at Cairo University hospitals.

    Science.gov (United States)

    Galal, Yasmine S; Labib, John R; Abouelhamd, Walaa A

    2014-04-01

    Healthcare-associated infection is a prominent problem among patients in pediatric intensive care units (PICU) as it could result in significant morbidity, prolonged hospitalization, and increase in medical care costs. The role of nurses is extremely important in preventing hazards and sequela of healthcare-associated infections. The aim of this study was to assess the effect of a health education program regarding infection-control measures on nurses' knowledge and attitude in PICUs at Cairo University hospitals. This was a pre-post test interventional study in which a convenient sample of 125 nurses was taken from the nursing staff in different PICUs at Cairo University hospitals. The study took place in three phases. In the first phase, the nursing staff's knowledge, attitude and practice concerning infection-control measures were tested using a self-administered pretested questionnaire and an observation checklist. The second phase included health education sessions in the form of powerpoint and video presentations; and in the third phase the nurses' knowledge and attitude on infection-control measures were reassessed. A significantly higher level of knowledge was revealed in the postintervention phase as compared with the preintervention phase with regards to the types of nosocomial infections (94.4 vs. 76.8%, PNurses in the postintervention phase had significantly more knowledge about the types of hand washing (99.2 vs. 91.2%, P=0.006). A significantly higher percent of nurses in the postintervention phase knew the importance of avoiding recapping syringes (72.8 vs. 34.4%, Pattitude scores were revealed in the postintervention phase as compared with the preintervention one (Pnurses in the neonatal intensive care unit at the Japanese Hospital (88%), whereas it was the lowest in the emergency pediatric unit (65%). There is scope for improvement in knowledge and attitude after educational program was offered to the nursing staff. Educational training programs

  17. The Effect of the Educational Program on Iranian Premature Infants’ Parental Stress in a Neonatal Intensive Care Unit: A Double-Blind Randomized Controlled Trial

    Science.gov (United States)

    Beheshtipour, Noushin; Baharlu, Seyedeh Marzieh; Montaseri, Sedigheh; Razavinezhad Ardakani, Seyed Mostajab

    2014-01-01

    Background: Hospitalization in neonatal intensive care unit (NICU) leads to a lot of stress and shock to the parents. Nurses, as the primary sources of information, could play an important role in reducing their stress. The aim of this study was to determine the effect of educational program on the premature infants’ parental stress in NICU. Methods: This double-blind randomized controlled trial study with a pre-and post-test and follow up design was conducted from February 2013 to March 2014. Sixty parents in Hazrat Zainab hospital affiliated to Shiraz University of Medical Sciences were randomly allocated into the intervention (received educational program) and control groups (received routine care). The valid and reliable ”Parental Stressor Scale: Neonatal Intensive Care Unit (PSS: NICU)“ was used to measure the parental stress. In the intervention group, information about general condition of the baby, the equipment and unit’s environment, spouse support, and problem solving strategies were given. The data were collected the second day after admission, fifth day after admission, and a week after the intervention. The data were analyzed in SPSS (Version 14), using t-test and repeated measures analysis of variance. Results: In the second day after admission, the mean score of stress in premature infants’ mothers and fathers in the intervention group were 94.79±14.28 and 76.77±16.39, respectively. In the control group, it was 94.48±20.03 and 92.30±21.95 for mothers and fathers. After the intervention in the fifth day of admission, a significant difference was observed between the two groups concerning the premature infants’ maternal (t=-5. 23, P<0.0001) and paternal (t=-6.17, P<0.0001) stress. Moreover, a week after the intervention, the stress mean scores were (in the intervention group: for mothers=59.72±13.55 and for fathers=61.22±18.00), and (in the control group: for mothers=86.75±12.12 and fathers=84.70±18.46). Moreover, a significant

  18. A theoretical lens on a biology intensive orientation program: A study of self-efficacy and self-regulation of freshman biology majors

    Science.gov (United States)

    Wheeler, Erin R.

    There is a national effort to increase the number of undergraduate students graduating in science, math, engineering, and technology (STEM) (National Science Foundation, 2007). The majority of students initially populating these STEM majors ultimately switch to and graduate from non-STEM majors (Seymour & Hewitt, 2000; Seymour, 2002). The source of attrition from STEM fields lies within the difficulty of concepts presented in freshman STEM introductory courses (Jensen & Moore, 2007, 2008, 2009; Seymour & Hewitt, 2000). These gateway courses are considered high-risk because nearly half of students enrolled in these courses receive either a "D" or "F" or completely withdraw from the course (Labov, 2004). Research shows that students who have uncalibrated self-efficacy and an attenuated self-regulated learning are unsuccessful in high-risk courses (Kitsantas et al., 2008; Ross, Green, Salisbury-Glennon, & Tollefson, 2006; Zimmerman, 2002). Traditional academic assistance, such as tutoring, learning to learn courses, and supplemental instruction, does not explicitly develop an undergraduate's self-efficacy and self-regulated learning as it specifically relates to the STEM domains (Cao & Nietfeld, 2007; Dembo & Seli, 2006; Ross et al., 2006; Simpson, Hind, Nist, Burrell, 1997). Some STEM departments have created academic interventions, such as one-credit seminars, orientation programs, and bridge programs, to directly address the needs of STEM majors (Belzer, 2003; Bonner, 2009; Chevalier, Chrisman, & Kelsey, 2001; Hutchison-Green, Follman, & Bodner, 2008; D. J. Minchella, Yazvac, C. W., Fodrea, R. A., Ball G., 2007; Reyes, Anderson-Rowland, & McCartney, 1998). This study focused on the effect of a biology-intensive orientation program on biology majors' self-efficacy and self-regulated learning. The study utilized approximately 300 undergraduate biology majors participating in a biology-intensive orientation that occurred on August 7-12, 2011, at a public state

  19. Contexts constrain science in the public: How the sociobiology debate was (not) presented in the German press.

    Science.gov (United States)

    Linke, Sebastian

    2012-08-01

    This article reports on a media study on the coverage of sociobiology (SB) in the German media. The analyses show a decoupling between the academic discussion and the German media coverage: when the scientific debates about SB were at their height (late 1970s), nearly no reporting occurred in the German press, whereas from the middle of the 1990s onwards, when the academic discussion had settled, SB was presented increasingly often. The case reveals the importance of cultural contexts in shaping popular science coverage, making SB a non-issue in the German media at the times of its most intense scientific debate. Factors contributing to this particular situation in German academia and popular culture are discussed. Comparisons with other studies show how the late renaissance of SB in Germany in the late 1990s is due to media attention towards the new biosciences.

  20. Profitability of Management Systems on German Fenlands

    Directory of Open Access Journals (Sweden)

    Marco Rebhann

    2016-10-01

    Full Text Available Fens are organic sites that require drainage for agricultural use. Lowering the groundwater level leads to trade-offs between economic benefits and environmental impacts (i.e., CO2 and nutrient emissions. To identify management options that are both environmentally and economically sustainable, a propaedeutic systematic analysis of the costs, income and profit of different land use and management systems on fenlands is necessary. This study provides an overview of the profitability, labor demand and comparative advantages of feasible management systems on German fenlands. Twenty management practices in four land use systems are analyzed. The results indicate that most management systems are profitable only with subsidies and payments for ecosystem services. In addition to sales revenue, these payments are indispensable to promote peat-saving agricultural practices on fenlands. Regarding the labor aspect, intensive management systems caused an increase in working hours per hectare, which may positively affect employment in rural areas. The calculations obtained in this study can be used as a basis for estimations of greenhouse gas (GHG mitigation costs when management systems are associated with GHG emission values.

  1. Ludolph Brauer, German aeromedical pioneer.

    Science.gov (United States)

    Harsch, Viktor

    2004-08-01

    Ludolph Brauer (1865-1951) played an influential role in the history of aviation medicine in Germany. The Treaty of Versailles had put a stop to the development of German aviation and associated medical activities at the end of World War I. Brauer deserves credit for restarting civilian aviation medicine in Germany in the 1920s, paving the way for it to flourish in the 1930s. As Medical Director of the Hamburg-Eppendorf General Hospital, Brauer established the first German Institute of Aviation Medicine (GIAM) in 1927 in affiliation with the Tuberculosis Research Institute with its two large pneumatic chambers. The GIAM was active in altitude research and the selection of pilots, as well as educating medical students in aviation medicine, training Aviation Medical Examiners, and exploring clinical applications of hypobaric and climatic therapy. Brauer was forced to retire in 1934 for political reasons as the GIAM came under the influence of the military; in 1939 it was made part of the Aeromedical Research Institute of the "Reichsluftfahrt" Ministry. Brauer was a co-editor of the journal Luftfahrtmedizin in the 1930s and 1940s. He died in Munich on November 25th, 1951.

  2. [German language physician rating sites].

    Science.gov (United States)

    Strech, D; Reimann, S

    2012-08-01

    In physician rating sites (PRS), patients are able to share their experiences and indicate their satisfaction in qualitative and quantitative form. This information should support other patients in the search for a suitable physician and can serve as a form of anonymous feedback for physicians. Medical association representatives are often concerned that such reviews primarily aim at defamation. Furthermore, there are various aspects of medical work that cannot be adequately evaluated solely through the patients. In the United States of America, the majority of such previous reviews were shown to be positive. It has yet to be examined in the German and English speaking regions where distinct criteria presently allow patients to express their satisfaction through PRS. Based on the systematic review of patient satisfaction questionnaires, a set of criteria was created that represents the dimensions of patient satisfaction. German and English language physician rating sites were systematically researched using the Internet search machines "Google" and "Yahoo". The identified PRS were then evaluated with the help of the aforementioned set of criteria. In order to survey the tendency of the amount and content of reviews, a stratified sample of members of the Panel Doctor's Association in Hamburg and Thuringia was generated. A total of 298 randomly selected physicians were searched for in 6 German-language PRS regarding potential reviews. Some of the key features of the relation-ship between physicians and patients, such as medical competence, information, and consultation, were surveyed by more than three-fourths of the German-speaking PRS; however, other features such as communication were only sampled by one. As opposed to formal points of view, office facilities and organisation were assessed by all PRS. General reviews on treatment success and satisfaction were displayed in more than half of the reviews. Between 75% and 98% of physicians from the random sampling

  3. Effects of in-season short-term aerobic and high-intensity interval training program on repeated sprint ability and jump performance in handball players.

    Science.gov (United States)

    Hermassi, Souhail; Ingebrigtsen, Jørgen; Schwesig, René; Fieseler, Georg; Delank, Karl-Stefan; Chamari, Karim; Shephard, Roy J; Chelly, Mohamed-Souhaiel

    2018-01-01

    This study examined the effects of a 7-week in-season aerobic and high-intensity interval-training program on performance tests linked to successful handball play (e.g., repeated sprint and jumping ability). Thirty participants (age 17.0±1.2 years, body mass 81.1±3.4 kg, height 1.82±0.07 m) performed a Yo-Yo Intermittent Recovery Test level 1 (Yo-Yo IR1), a squat (SJ) and a Countermovement Jump Test (CMJ), as well as a repeated Sprint Ability Test (RSA). From this, maximal aerobic speed (MAS, reached at the end of the Yo-Yo IR1), jumping ability, best time in a single sprint trial (RSAbest), total time (RSATT) and the performance decrement (RSAdec) during all sprints were calculated. Later, subjects were randomly assigned to a control group (CG; N.=15) performing their normal training schedule (5 weekly sessions of ~90 minutes of handball training) or an experimental group (EG; N.=15). The EG performed two 30 min sessions per week of high-intensity aerobic exercises at 100-130% of MAS in addition to their normal training schedule. A significant improvement in MAS (d=4.1), RSAbest (d=1.9), RSATT (d=1.5) and RSAdec (d=2.3) after the training period was demonstrated. Also, significant interaction effects (time x group) were found for all parameters as the EG significantly improved performances in all tests after training. The greatest interaction effects were observed in MAS (η2=0.811) and CMJ (η2=0.759). No relevant changes in test performances were found in the CG (mean d=-0.02). These results indicate that individually speed-controlled aerobic and interval training is effective for improving specific handball performance.

  4. Early Motor Stimulation and Personal Development. A Study of Four- to Six-Year-Old German Children.

    Science.gov (United States)

    Diem, Liselott

    1982-01-01

    A study of 165 West German preschool children participating in a motor program which included swimming as an important activity showed that early motor stimulation affected the children's motor, social, and individual development. (CJ)

  5. Results of German support programme to implement the UN FCCC

    Energy Technology Data Exchange (ETDEWEB)

    Liptow, H. [GTZ, Eschborn (Germany)

    1996-12-31

    This paper presents a summary of German efforts in support of implementing the Framework Convention on Climate Change (FCCC). Following the Rio conference, the task of supporting outreach efforts was given to the GTZ since that is its general function, and within the context of German Technical Co-operation (TC), a program was implemented. Their initial effort was directed at helping implement inventory studies in target countries, including studies of options for reducing emissions. Once a level of information and factual knowledge was in place, they presented the type of technical support which Germany could offer in meeting the needs envisioned to achieve reduced emissions, in the form of technical co-operation. Experiences are discussed for the cases of a number of different participating countries.

  6. Diffusion of energy efficient technologies in the German steel industry and their impact on energy consumption

    NARCIS (Netherlands)

    Arens, M.; Worrell, E.

    2014-01-01

    We try to understand the role of technological change and diffusion of energy efficient technologies in order to explain the trend of energy intensity developments in the German steel industry. We selected six key energy efficient technologies and collected data to derive their diffusion since their

  7. Improved self-efficacy in persons with relapsing remitting multiple sclerosis after an intensive social cognitive wellness program with participation of support partners: a 6-months observational study.

    Science.gov (United States)

    Jongen, Peter Joseph; Ruimschotel, Rob; Heerings, Marco; Hussaarts, Astrid; Duyverman, Lotte; van der Zande, Anneke; Valkenburg-Vissers, Joyce; Wolper, Hanne; van Droffelaar, Maarten; Lemmens, Wim; Donders, Rogier; Visser, Leo H

    2014-03-19

    For persons with multiple sclerosis (MS) it is important to preserve their autonomy, in spite of increasing disability. A major factor mediating autonomy is self-efficacy. According to the social cognitive theory stressors are crucial determinants of self-efficacy, as well as the interaction with partners. In an explorative observational study we assessed in 47 persons with MS (PwMS) the effect of an intense, multidisciplinary, 3-day, social cognitive wellness program with the participation of support partners, after 1, 3 and 6 months. self-efficacy-control and -function (Multiple Sclerosis Self-Efficacy Scale [MSSES]),limitations to and problems with participation and autonomy (Impact on Participation and Autonomy [IPA] scale). health-related quality of life (HRQoL) (MS Quality of Life-54 Items [MSQoL-54] questionnaire), anxiety, depression (Hospital Anxiety and Depression Scale [HADS]), and fatigue (Modified Fatigue Impact Scale-5 Items [MFIS-5]). Disability was measured with the Expanded Disability Status Scale (EDSS). Percentage changes from baseline were tested with T-tests, level of significance 0.05. In the whole group the MSQoL-54 Mental score was increased at 1, 3 and 6 months (+16.0%, +13.2%, +12.2%), and the MSQoL-54 Physical (+10.2%) at 6 months, with no changes in other outcomes. The relapsing remitting (RR) subgroup (n = 20) had at 6 months an increase in the MSSES-Control score (+24.8%) and in the MSQoL54 Mental and Physical scores (+22.3%, +17.6%). Progressive patients (n = 22) only showed an increase in the MSQoL-54 Mental score (+11.5%) at 1 month. In the low-disability (EDSS  =4.0) subgroup no significant changes occurred. Results from this observational study suggest that 6 months after an intense, 3-day, multidisciplinary, social cognitive wellness program with support partners, PwMS with a RR course or low disability may experience an improved self-efficacy-control and HRQoL.

  8. German for Communication: A Teacher's Guide.

    Science.gov (United States)

    Green, Jens-Peter; Grittner, Frank M.

    This guide is designed to: (1) offer a rationale for German instruction and student enrollment; (2) give suggestions for proficiency-oriented lesson planning; and (3) provide classroom activities for students at various proficiency levels. A section on promoting the study of German discusses its role as a major world language, in tourism and world…

  9. The Soviet Union and German Reunification.

    Science.gov (United States)

    1985-10-17

    another nation for the military oath of the East German Armed Forces is: I swear : to be always ready, side by side with the Soviet 1my and the armies of...government itself is feeding the nationalists’ euphoria . The U.S. Pershings have clearly added to the brazenness of West German revenge seekers.36

  10. German Colonialism and the Cameroonian Chieftaincy Institution ...

    African Journals Online (AJOL)

    German Colonialism and the Cameroonian Chieftaincy Institution, 1884-1916: The Politics of Convenience, Tyranny and Hegemony. ... Lagos Historical Review ... It demonstrates that notwithstanding the treatment meted out to chiefs by the German colonialists, African traditional rulers exploited their positions within the ...

  11. The general partnership in German law

    OpenAIRE

    Wooldridge, Frank

    2009-01-01

    An overview of the German OHG (offene Handelgesellschaft) and provisions of the German Commercial Code relating to commercial partnership. Article by Dr Frank Wooldridge published in Amicus Curiae - Journal of the Society for Advanced Legal Studies. The Journal is produced by the Society for Advanced Legal Studies at the Institute of Advanced Legal Studies, University of London.

  12. Old Russian Politogenesis in German Historiography

    Directory of Open Access Journals (Sweden)

    Andrey Dvornichenko

    2014-12-01

    Full Text Available The article analyzes German historiography, related to the problem of ancient politogenesis: the origin and development of political institutions and statehood. This historiography was under the strong influence of the Russian scientific thought, first of all, its emigrant branch. As a result, the "democratic" theory of politogenesis reflected in the works by the German and Austrian historians.

  13. German Spelling Reform: Kangaroos, Emus, and Cockatoos.

    Science.gov (United States)

    Ohlendorf, Harald

    1997-01-01

    The latest movement to reform German spelling is discussed, focusing on the need for greater consistency in spelling of words from other languages and the major changes proposed. Issues addressed include capitalization, specific idiosyncracies in German spelling, concerns related to computerization, public opinion, and the scope of the reform.…

  14. The Teaching of German Literature in Translation.

    Science.gov (United States)

    Rippley, LaVern J.

    The present-day status of language instruction at St. Olaf College is viewed in the perspective of past requirements at the college. Reasons for student interest in German, the most popular modern language, focus on the influence of family ties with speakers of Norwegian. A discussion of methods of teaching German literature in translation is…

  15. Massive job cuts threaten East German science

    CERN Multimedia

    Hamer, M

    1990-01-01

    German reunification could result in thousands of scientists losing their jobs. At the end of this year the East German state budget for science will run out. Scientists in the East are keen to find Western support to protect their research (1 page).

  16. Genetic drift. Overview of German, Nazi, and Holocaust medicine.

    Science.gov (United States)

    Cohen, M Michael

    2010-03-01

    An overview of German, Nazi, and Holocaust medicine brings together a group of subjects discussed separately elsewhere. Topics considered include German medicine before and during the Nazi era, such as advanced concepts in epidemiology, preventive medicine, public health policy, screening programs, occupational health laws, compensation for certain medical conditions, and two remarkable guidelines for informed consent for medical procedures; also considered are the Nuremberg Code; American models for early Nazi programs, including compulsory sterilization, abusive medical experiments on prison inmates, and discrimination against black people; two ironies in US and Nazi laws; social Darwinism and racial hygiene; complicity of Nazi physicians, including the acts of sterilization, human experimentation, and genocide; Nazi persecution of Jewish physicians; eponyms of unethical German physicians with particular emphasis on Reiter, Hallervorden, and Pernkopf; eponyms of famous physicians who were Nazi victims, including Pick and van Creveld; and finally, a recommendation for convening an international committee of physicians and ethicists to deal with five issues: (a) to propose alternative names for eponyms of physicians who exhibited complicity during the Nazi era; (b) to honor the eponyms and stories of physicians who were victims of Nazi atrocities and genocide; (c) to apply vigorous pressure to those German and Austrian Institutes that have not yet undertaken investigations to determine if the bodies of Nazi victims remain in their collections; (d) to recommend holding annual commemorations in medical schools and research institutes worldwide to remember and to reflect on the victims of compromised medical practice, particularly, but not exclusively, during the Nazi era because atrocities and acts of genocide have occurred elsewhere; and (e) to examine the influence of any political ideology that compromises the practice of medicine. (c) 2010 Wiley-Liss, Inc

  17. The benefits of a high-intensity aquatic exercise program (HydrOS) for bone metabolism and bone mass of postmenopausal women.

    Science.gov (United States)

    Moreira, Linda Denise Fernandes; Fronza, Fernanda Cerveira A O; Dos Santos, Rodrigo Nolasco; Zach, Patrícia Lins; Kunii, Ilda S; Hayashi, Lilian Fukusima; Teixeira, Luzimar Raimundo; Kruel, Luis Fernando Martins; Castro, Marise Lazaretti

    2014-07-01

    This study aimed to evaluate the 24-week effects of a high-intensity aquatic exercise program on bone remodeling markers and bone mass of postmenopausal women. In this randomized, controlled trial we studied 108 women (58.8 ± 6.4 years), randomized into Aquatic Exercise Group (AEG), n = 64, performing 24 weeks of aquatic exercises, and Control Group (CG), n = 44, sedentary. They had their fasting morning blood sample collected for the measures of intact parathyroid hormone (iPTH), procollagen type 1 amino-terminal propeptide (P1NP) and carboxy-terminal cross-linking telopeptide of type I collagen (CTx). Bone mass was measured by dual-energy X-ray absorptiometry before and after the intervention. Participants of both groups received a daily supplementation of 500 mg of elementary calcium and 1,000 IU of vitamin D (cholecalciferol). Results showed an augment in bone formation marker (P1NP) only in the AEG (15.8 %; p = 0.001), and although both groups experienced significant enhancements in bone resorption marker (CTx), this increase was less considerable in the AEG (15 % in the AEG and 29 % in the CG). IPTH was increased by 19 % in the CG (p = 0.003) at the end. The femoral trochanter BMD presented a 1.2 % reduction in the CG (p = 0.009), whereas in the AEG no change was observed (p = 0.069). The proposed aquatic exercise program was efficient in attenuating bone resorption raise and enhancing bone formation, which prevented the participants in the AEG from reducing the femoral trochanter BMD, as happened in the CG.

  18. German versus Nordic Board Models

    DEFF Research Database (Denmark)

    Ringe, Georg

    2016-01-01

    changes and developments in business practice, the article argues that board practices in the two systems effectively blur the structural distinction, and that board organization is converging in practice. It thereby contributes to the broader debates on functionality and comparative corporate law......Board structure is an important component of the individual governance of firms, and the appropriateness of the various models is one of the most debated issues in corporate governance today. A comparison of the Nordic and German approaches to the structure of corporate boards reveals stark...... conceptual differences, as emphasized by the 2014 Lekvall Report on the Nordic Corporate Governance Model. This article provides a conceptual comparison between the two approaches to board structure and confirms the fundamental divergence between both models. However, relying on a number of recent legal...

  19. The 'Ottoman-German Jihad'

    DEFF Research Database (Denmark)

    Jung, Dietrich

    2014-01-01

    it in perspective. It looks more closely at a debate between two founding fathers of Islamic studies. After the Ottoman Sultan Mehmet V declared jihad against the Entente powers in 1914, Christiaan Snouck Hurgronje and Carl-Heinrich Becker disputed the role allegedly played by German Orientalists in this affair....... The article would argue that this historical dispute already reflected some of the core issues of the contemporary controversy of 'area studies' and contained some lessons for us to learn regarding the analysis of Middle Eastern economy, society and politics.......The 'Arab Spring' added new fuel to the ongoing controversy over the validity of regional or area studies. None of the Middle East 'area experts' predicted the revolutionary events that led to the fall of a number of authoritarian rulers in the Arab world. As a result, scholars, the media...

  20. [The German Environmental Specimen Bank].

    Science.gov (United States)

    Schröter-Kermani, Christa; Gies, Andreas; Kolossa-Gehring, Marike

    2016-03-01

    The main objective of the German Environmental Specimen Bank (ESB) is the long-term storage of environmental and human samples under stable deep-freeze conditions for future research. The ESB is unique in providing a continuous historical record of environmental and human exposure to chemicals in Germany. ESB was started parallel to the development of the first German Chemicals Legislation in the late 1970s. In 1979, the ESB test operation began. After the Chemicals Law came into force in 1982, the ESB was established as a permanent facility in 1985. With the new European Chemicals Legislation, REACH, in 2007 responsibility for the safety of commercial chemicals and risk assessment was assigned to the industry. Since then, the ESB has become even more important in verifying the self-assessment of the industry, in evaluating the effectiveness of regulations, thus ensuring the protection of humans and the environment against adverse effects caused by exposure to chemicals. These objectives are pursued by the regular monitoring of contaminations and the assessment of temporal trends. Demonstrating the necessity of deriving exposure reduction measures, ESB results serve as key information for policy-makers. Information on preventing exposure to chemicals is available to the general public and to the public health services. The ESB is thus an important monitoring instrument of the Federal Ministry for the Environment, Nature Conservation, Building and Nuclear Safety. The Federal Environment Agency operates the ESB based on its own concepts, heads the scientific data evaluation and transfers results into the environmental policy arena and to the general public.

  1. [Program and practice of psychiatric genetics at the German Research Institute of Psychiatry under Ernst Rüdin: on the relationship between science, politics and the concept of race before and after 1993].

    Science.gov (United States)

    Roelcke, Volker

    2002-01-01

    The first research institution exclusively devoted to psychiatric genetics was the Department of Genealogy and Demography at the German Psychiatric Research Institute (Deutsche Forschungsanstalt für Psychiatrie) in Munich. From its foundation in 1917 until 1945 it was directed by Ernst Rüdin, one of the protagonists of the racial hygiene movement in Germany. In scientific terms, colleagues from abroad regarded the research undertaken by Rüdin and his collaborators as outstanding in 1933/34, and as remarkable even in the post-1945 period. This paper analyses programme and practice of psychiatric genetics at the Munich Institute as well as Rüdin's involvement in Nazi mental health policy including his active support of the systematic patient killings ('euthanasia'). It is argued that the idea of a healthy 'race' was a guiding principle motivating all of Rüdin's research and political activities, and that it is not possible to distinguish in his work a phase of 'good' research (in scientific terms) untainted by racial ideas from a phase of 'bad' (pseudo-) research contaminated by racial ideology.

  2. Pilot study comparing multi-family therapy to single family therapy for adults with anorexia nervosa in an intensive eating disorder program.

    Science.gov (United States)

    Dimitropoulos, Gina; Farquhar, Jamie C; Freeman, Victoria Emily; Colton, Patricia Anne; Olmsted, Marion Patricia

    2015-07-01

    Multi-family therapy (MFT) has yet to be evaluated in families of adults with anorexia nervosa (AN). The study aims were: (i) assess the feasibility of MFT for AN; and, (ii) assess whether MFT is associated with improved outcomes for families compared with single-family therapy (SFT). Adult patients with AN consecutively referred to an eating disorder treatment program were assigned (non-randomly) to receive eight sessions of SFT or MFT. Assessment occurred pre-therapy, immediately post-therapy, and at 3-month follow-up. A total of 37 female patients (13 SFT, 24 MFT) and 45 family members (16 SFT, 29 MFT) completed treatment. There were significant time effects for patients' BMI, eating disorder-related psychopathology and multiple family outcome measures. There were no differences between MFT and SFT on family outcome measures at end of treatment and 3 months post treatment. MFT is a feasible intervention that can be used in adult intensive treatment for those with AN. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  3. German General Staff Officer Education and Current Challenges

    National Research Council Canada - National Science Library

    Groeters, Thomas

    2006-01-01

    "German General Staff Officer Education and Current Challenges" examines the institutional education of German General Staff Officers, as experienced by the author, and offers a "Conceptual Competency...

  4. Testing the suffixoidization of German -mann '-man'

    Directory of Open Access Journals (Sweden)

    Douglas Lightfoot

    2011-12-01

    Full Text Available Throughout its history in Old High German (OHG, Middle High German, Early New High German, and Modern German (ModG, the word Mann "man" has exhibited a high degree of productivity and linguistic flexibility. It has ranged morphosyntactically from a full noun (OHG man "man", compounded noun (OHG werolt.man "human, mortal", affixoid (ModG Sports.mann "athlete", indefinite pronoun (ModG man "one", to something approaching zero (undergoing demorphologization in the OHG compound gom.man "husband, man". The affixoid notion and its usefulness in morphology have been controversial in the literature (e.g., Schmidt 1987. Relatively recently, Stevens (2005 proposed criteria for the category affixoid, and a number of standard German grammatical and etymological references (e.g., Duden 1995 have been utilizing this term. This study involves examining modern usage of the form -mann as found in the online Spiegel newsmagazine's database, as well as the collection of historical data primarily on the forms of German -mann from the robust Titus database in Frankfurt. Stevens' (2005 criteria are evaluated and used to measure the validity of German -mann's membership in the category of suffixoid.

  5. Diabetes risk reduction in overweight first degree relatives of type 2 diabetes patients: Effects of a low-intensive lifestyle education program (DiAlert) A randomized controlled trial

    NARCIS (Netherlands)

    Heideman, W.H.; de Wit, M.; Middelkoop, B.J.C.; Nierkens, V.; Stronks, K.; Verhoeff, A.P.; Snoek, F.J.

    2015-01-01

    Objectives To test the efficacy of a low-intensive lifestyle education program (DiAlert) for overweight first degree relatives of type 2 diabetes patients aimed at reducing diabetes risk. Methods Overweight first degree relatives of type 2 diabetes patients were randomly assigned to the DiAlert

  6. Randomized controlled trial on the effects of a supervised high intensity exercise program in patients with a hematologic malignancy treated with autologous stem cell transplantation: Results from the EXIST study

    NARCIS (Netherlands)

    Persoon, Saskia; Chinapaw, Mai J. M.; Buffart, Laurien M.; Liu, Roberto D. K.; Wijermans, Pierre; Koene, Harry R.; Minnema, Monique C.; Lugtenburg, Pieternella J.; Marijt, Erik W. A.; Brug, Johannes; Nollet, Frans; Kersten, Marie José

    2017-01-01

    This single blind, multicenter randomized controlled trial aimed to evaluate the effectiveness of a supervised high intensity exercise program on physical fitness and fatigue in patients with multiple myeloma or lymphoma recently treated with autologous stem cell transplantation. 109 patients were

  7. A combined early cognitive and physical rehabilitation program for people who are critically ill: the activity and cognitive therapy in the intensive care unit (ACT-ICU) trial.

    Science.gov (United States)

    Brummel, Nathan E; Jackson, James C; Girard, Timothy D; Pandharipande, Pratik P; Schiro, Elena; Work, Brittany; Pun, Brenda T; Boehm, Leanne; Gill, Thomas M; Ely, E Wesley

    2012-12-01

    In the coming years, the number of survivors of critical illness is expected to increase. These survivors frequently develop newly acquired physical and cognitive impairments. Long-term cognitive impairment is common following critical illness and has dramatic effects on patients' abilities to function autonomously. Neuromuscular weakness affects similar proportions of patients and leads to equally profound life alterations. As knowledge of these short-term and long-term consequences of critical illness has come to light, interventions to prevent and rehabilitate these devastating consequences have been sought. Physical rehabilitation has been shown to improve functional outcomes in people who are critically ill, but subsequent studies of physical rehabilitation after hospital discharge have not. Post-hospital discharge cognitive rehabilitation is feasible in survivors of critical illness and is commonly used in people with other forms of acquired brain injury. The feasibility of early cognitive therapy in people who are critically ill remains unknown. The purpose of this novel protocol trial will be to determine the feasibility of early and sustained cognitive rehabilitation paired with physical rehabilitation in patients who are critically ill from medical and surgical intensive care units. This is a randomized controlled trial. The setting for this trial will be medical and surgical intensive care units of a large tertiary care referral center. The participants will be patients who are critically ill with respiratory failure or shock. Patients will be randomized to groups receiving usual care, physical rehabilitation, or cognitive rehabilitation plus physical rehabilitation. Twice-daily cognitive rehabilitation sessions will be performed with patients who are noncomatose and will consist of orientation, memory, and attention exercises (eg, forward and reverse digit spans, matrix puzzles, letter-number sequences, pattern recognition). Daily physical

  8. Reviewing the effects of an educational program about sepsis care on knowledge, attitude, and practice of nurses in intensive care units.

    Science.gov (United States)

    Yousefi, Hojatollah; Nahidian, Malihe; Sabouhi, Fakhri

    2012-02-01

    The most common complication of hospitalization in intensive care units (ICUs) is infections caused by health care. Although sepsis results in a small percentage of infections, it has a high mortality rate. Intensive care nurses play a critical role in the prevention, early detection, and beginning of therapeutic interventions in patients with sepsis. This study aimed to review the effects of an educational program on knowledge, attitude, and practice of ICU nurses in Shariati Hospital, Isfahan, Iran. This was a quasi-experimental study on 64 nurses with at least one year of experience in ICU. The subjects were randomly selected and divided into test and control groups. Scores of knowledge, attitude, and practice of the participants were reviewed through a researcher-made questionnaire before and immediately and three weeks after a one-day workshop. Compared to baseline, there were significant increases in mean scores of knowledge, attitude, and practice in the test group immediately and three weeks after the education. Mean scores of knowledge in the test group before and immediately and 3 weeks after the intervention were 64.5, 84.9 and 85.2, respectively. The corresponding values for attitude were 73, 79.7, and 83.3. Mean scores of practice were 81.8, 90.5, and 91.3 before and immediately and 3 weeks after the intervention, respectively. In the control group, mean scores of knowledge before and immediately and 3 weeks after the educational course (which they did not attend) was 63.7, 63.9, and 63.5, respectively. Mean scores of attitude were respectively 72.8, 73.3, and 73.2 at the mentioned intervals. The corresponding values for practice were 82.1, 82.9, and 82.7. Training significantly improved levels of knowledge, attitude, and practice of ICU nurses in sepsis care. Therefore, compiling and organizing seminars and continuous basic educational workshops for sepsis care are recommended for health caregivers.

  9. [Evaluation of an intensive treatment education program for type 1 diabetes in a group of adolescents. A two year follow up].

    Science.gov (United States)

    Krochik, Andrea G; Mazza, Carmen S; Araujo, Maria B; Kovalskys, Irina; Ozuna, Blanca; Assad, Daniel; Coppola, Liliana; Domenech, Irene; Lahera, Elba; Zufriategui, Zulma; Gagliardino, Juan J

    2004-01-01

    During the past decade several reports were published showing that intensive treatment of type 1 diabetes can prevent and delay disease-related microvascular complications. However, several problems were reported in children and adolescents such as frequent hypoglycemic episodes and weight gain. The aim of this study was to describe the results of intensified treatment for type 1 diabetes in a group of Argentinean adolescents after a follow-up of two years. Twenty five adolescents with type 1 diabetes older than 10 years with at least one year from diagnosis were selected. All patients received a one-week teaching program during admission to our center. All patients were followed-up monthly during two years. Treatment schedule included 4-5 controls in fasting conditions, two doses of NPH insulin and four doses of regular insulin according to glycemia and the amount of calculated carbohydrate intake. Median age was 13.5 years (range 10 to 19 years). Mean time from diagnosis to inclusion in the study was 3.8 years (range 1.25 to 9 years). Mean total dose of NPH insulin decreased significantly when measured at the inclusion in the study (0.9 IU/kg) and after a year of follow-up 0.8 IU/kg (p 0.04). However, there were no changes in NPH insulin dose after two years follow-up (0.85 IU/kg). On the contrary, the dose of regular insulin administered on fasting conditions with normal glycemia increased from 0 to 0.21/kg after a year (p 0.0001) and to 0.69 after two years (non significant). Median HbA1C showed a significant reduction from 10 +/- 1.62% to 8.53 +/- 1.04% after a year (p 0.03) and to 8.72 +/- 0.81% after two years. BMI Z score increased from significantly from 0.7 +/- 0.9 to 1.06 +/- 1.15 after a year (p 0.03) with a further reduction without a significant difference from the basal value after two years. We found no significant differences in the frequency of hypoglycemia or other metabolic features. Our results show that intensive treatment of type 1 diabetes

  10. Market structure and concentration in German power generation; Marktstrukturen und Konzentration in der deutschen Stromerzeugung

    Energy Technology Data Exchange (ETDEWEB)

    Schwarz, H.G.; Lang, C. [Erlangen-Nuernberg Univ. (Germany). Inst. fuer Wirtschaftswissenschaft

    2005-12-15

    Despite intensive discussions about the background of the late strong rises of electricity tariff, there is no current information on hand about market structure and concentration of German power generation. The most recent report of the European Commission refers to the year 2001 and is not able to paint a realistic picture of today situation an the German electricity market. It is therefore worth it to take a close look at the current state of market structure and concentration. The concentration of electric utilities appears to have increased further but the stress of competition from foreign competitors rose only little.

  11. The Cardiovascular Society in the GDR (German Democratic Republic).

    Science.gov (United States)

    Pfeiffer, D

    2002-01-01

    The "Society of Cardiology and Angiology of the German Democratic Republic (GDR)" was the substitute for the "German Cardiac Society" between 1965 and 1992 in Eastern Germany, when the closed borders (since 1961) pevented free private and official communications. The society experienced 12 elections for the board, it had 792 members in 1989, several working groups and organized 14 cardiovascular congresses and hundreds of meetings. The society was very active in education of physicians and assistance personnel and developed an educational program for specialists in cardiology and angiology in 1977. The society supported the foundation of heart centers and the centralized long-term care of patients with heart failure, arrhythmias, congenital defects, pacemakers or peripheral arterial disease. Scientific results as transvasal closure of the ductus arteriosus Botalli, investigations of the energy metabolism of myocardial fibers, endomyocardial biopsy and several drugs, as ajmaline, talinolol, trapidil, PAMBA and hirudin are used up to these days. The tasks of the society ended with the collapse of the GDR in 1989 and therefore the society was liquidated in 1992, when its functions were taken over again by the German Cardiac Society.

  12. Second German-Catalan workshop on epigenetics & cancer.

    Science.gov (United States)

    Gonzalez, Beatriz; Forcales, Sonia V; Perucho, Manuel

    2015-01-01

    The Second German-Catalan Workshop on Epigenetics and Cancer was held in Barcelona on November 19-21, 2014. The workshop brought together, for the second time, scientists from 2 German and 2 Catalan research institutions: the DKFZ, from Heidelberg, the CRCME, from Freiburg, and the IMPPC and PEBC/IDIBELL, both from Barcelona. The German-Catalan Workshops are intended to establish the framework for building a Research School to foster collaborations between researchers from the different institutions. Exchange programs for graduate students are among the activities of the future School. The topics presented and discussed in 33 talks were diverse and included work on DNA methylation, histone modifications, chromatin biology, characterization of imprinted regions in human tissues, non-coding RNAs, and epigenetic drug discovery. Among novel developments from the previous Workshop are the report of the epigenetics angle of the Warburg effect and the long-range trans-acting interaction of DNA methylation and of nucleosome remodeling. A shift in the view on DNA methylation became apparent by the realization of the intertwined interplay between hyper- and hypo-methylation in differentiation and cancer.

  13. German causative events with placement verbs

    Directory of Open Access Journals (Sweden)

    De Knop Sabine

    2016-06-01

    Full Text Available Several studies have described the semantic uses of German posture verbs, but only few have dealt with German placement verbs. The present study wants to make up for this gap. Starting from a collection of examples from the core corpora of the Digitales Wörterbuch der Deutschen Sprache (DWDS and some former studies on posture verbs, it first describes the variety of the most common German placement verbs stellen (‘to put upright’, legen (‘to lay down’, setzen (‘to set’ and stecken (‘to stick’.

  14. Germanate Glass Fiber Lasers for High Power

    Science.gov (United States)

    2016-01-04

    AFRL-AFOSR-JP-TR-2016-0020 Germanate glass fiber lasers for high power David Lancaster THE UNIVERSITY OF ADELAIDE Final Report 01/04/2016...COVERED (From - To) 01-07-2014 to 30-06-2015 4. TITLE AND SUBTITLE Germanate glass fiber lasers for high power 5a.  CONTRACT NUMBER 5b.  GRANT NUMBER...germanate based glasses with a specific focus on glass stability during thermal-cycling which is representative of the steps required to fabricate a doped

  15. Sound intensity

    DEFF Research Database (Denmark)

    Crocker, Malcolm J.; Jacobsen, Finn

    1998-01-01

    This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

  16. Sound Intensity

    DEFF Research Database (Denmark)

    Crocker, M.J.; Jacobsen, Finn

    1997-01-01

    This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

  17. Comparison of linear and nonlinear programming approaches for "worst case dose" and "minmax" robust optimization of intensity-modulated proton therapy dose distributions.

    Science.gov (United States)

    Zaghian, Maryam; Cao, Wenhua; Liu, Wei; Kardar, Laleh; Randeniya, Sharmalee; Mohan, Radhe; Lim, Gino

    2017-03-01

    Robust optimization of intensity-modulated proton therapy (IMPT) takes uncertainties into account during spot weight optimization and leads to dose distributions that are resilient to uncertainties. Previous studies demonstrated benefits of linear programming (LP) for IMPT in terms of delivery efficiency by considerably reducing the number of spots required for the same quality of plans. However, a reduction in the number of spots may lead to loss of robustness. The purpose of this study was to evaluate and compare the performance in terms of plan quality and robustness of two robust optimization approaches using LP and nonlinear programming (NLP) models. The so-called "worst case dose" and "minmax" robust optimization approaches and conventional planning target volume (PTV)-based optimization approach were applied to designing IMPT plans for five patients: two with prostate cancer, one with skull-based cancer, and two with head and neck cancer. For each approach, both LP and NLP models were used. Thus, for each case, six sets of IMPT plans were generated and assessed: LP-PTV-based, NLP-PTV-based, LP-worst case dose, NLP-worst case dose, LP-minmax, and NLP-minmax. The four robust optimization methods behaved differently from patient to patient, and no method emerged as superior to the others in terms of nominal plan quality and robustness against uncertainties. The plans generated using LP-based robust optimization were more robust regarding patient setup and range uncertainties than were those generated using NLP-based robust optimization for the prostate cancer patients. However, the robustness of plans generated using NLP-based methods was superior for the skull-based and head and neck cancer patients. Overall, LP-based methods were suitable for the less challenging cancer cases in which all uncertainty scenarios were able to satisfy tight dose constraints, while NLP performed better in more difficult cases in which most uncertainty scenarios were hard to meet

  18. A Brief Cognitive-Behavioral Psycho-Education (B-CBE Program for Managing Stress and Anxiety of Main Family Caregivers of Patients in the Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Vico Chung Lim Chiang

    2016-09-01

    Full Text Available Having a loved one in the intensive care unit (ICU is a stressful event, which may cause a high level of anxiety to the family members. This could threaten their wellbeing and ability to support the patients in, or after discharge from, the ICU. To investigate the outcomes of a brief cognitive-behavioral psycho-education program (B-CBE to manage stress and anxiety of the main family caregivers (MFCs, a pragmatic quasi-experimental study involving 45 participants (treatment group: 24; control group: 21 was conducted in an ICU. The Depression and Anxiety Stress Scale and the Critical Care Family Need Inventory were used to evaluate the primary outcomes on stress and anxiety, and satisfaction with family needs. The treatment group reported significantly better improvement in the information satisfaction score compared to the control group (p < 0.05; η2 = 0.09. Overall main effects were observed on the stress (p < 0.01; η2 = 0.20, anxiety (p < 0.01; η2 = 0.18, depression (p < 0.05; η2 = 0.13, support satisfaction (p < 0.05; η2 = 0.13, and comfort satisfaction (p < 0.05; η2 = 0.11 scores. The experience of this study suggest that MFCs are in great need of additional support like B-CBE to manage their stress and anxiety. Given the brevity of B-CBE, it is practical for critical care nurses to deliver and MFCs to take within the industrious context of an ICU. More studies are needed to investigate these types of brief psychological interventions.

  19. Adolescent patients with eating disorders and their parents: a study of self-image and outcome at an intensive outpatient program.

    Science.gov (United States)

    Gezelius, Christina; Wahlund, Björn; Carlsson, Lars; Wiberg, Britt

    2016-12-01

    The main aim of this clinical study was to explore how adolescent patients with eating disorders and their parents report their perceived self-image, using Structural Analysis of Social Behavior (SASB), before and after treatment at an intensive outpatient program. Another aim was to relate the self-image of the young patients to the outcome measures body mass index (BMI) and Children's Global Assessment Scale (C-GAS) score. A total of 93 individuals (32 adolescents, 34 mothers, and 27 fathers) completed the SASB self-report questionnaire before and after family-based treatment combined with an individual approach at a child and youth psychiatry day care unit. The patients were also assessed using the C-GAS, and their BMI was calculated. The self-image (SASB) of the adolescent patients was negative before treatment and changed to positive after treatment, especially regarding the clusters self-love (higher) and self-blame (lower). A positive correlation between change in self-love and in C-GAS score was found, which rose significantly. Increased self-love was an important factor, explaining a variance of 26 %. BMI also increased significantly, but without any correlation to change in SASB. The patients' fathers exhibited low on the cluster self-protection. Mothers' profiles were in line with a non-clinical group. Results indicate that the self-image of adolescent patients change from negative to positive alongside with a mainly positive outcome of the ED after treatment. Low self-protection according to SASB among fathers suggests the need for greater focus on their involvement.

  20. Does an additional structured information program during the intensive care unit stay reduce anxiety in ICU patients?: a multicenter randomized controlled trial.

    Science.gov (United States)

    Fleischer, Steffen; Berg, Almuth; Behrens, Johann; Kuss, Oliver; Becker, Ralf; Horbach, Annegret; Neubert, Thomas R

    2014-01-01

    Communication and information in order to reduce anxiety in the intensive care unit (ICU) has been described as area needing improvement. Therefore, the aim of this trial was to evaluate whether a structured information program that intensifies information given in standard care process reduces anxiety in ICU patients. Multicenter, two-armed, non-blinded, parallel-group randomized controlled trial in hospitals in the cities of Marburg, Halle, and Stuttgart (Germany). The trial was performed in cardiac surgery, general surgery, and internal medicine ICUs. Two-hundred and eleven elective and non-elective ICU patients were enrolled in the study (intervention group, n = 104; control group, n = 107). The experimental intervention comprised a single episode of structured oral information that was given in addition to standard care and covered two main parts: (1) A more standardized part about predefined ICU specific aspects - mainly procedural, sensory and coping information, and (2) an individualized part about fears and questions of the patient. The control group received a non-specific episodic conversation of similar length additional to standard care. Both conversations took place at the beginning of the ICU stay and lasted 10-15 minutes. Study nurses administered both interventions. The primary outcome ICU-related anxiety (CINT-Score, 0-100 pts., higher scores indicate higher anxiety) was assessed after admission to a regular ward. The primary outcome could be measured in 82 intervention group participants and 90 control group participants resulting in mean values of 20.4 (SD 14.4) compared to 20.8 (SD 14.7) and a mean difference of -0.2 (CI 95% -4.5 to 4.1). A structured information intervention additional to standard care during ICU stay had no demonstrated additional benefit compared to an unspecific communication of similar duration. Reduction of anxiety in ICU patients will probably require more continuous approaches to information giving and

  1. A randomized controlled trial of a 12-week intensive lifestyle intervention program at a primary care obesity clinic for adults in western Saudi Arabia.

    Science.gov (United States)

    Alghamdi, Riyad Q

    2017-08-01

    To assess the ability of a 12-week primary care-based intensive lifestyle intervention (ILI), to facilitate a 5% reduction in baseline weight compared with an education-only active comparator (AC).  Methods: A randomized clinical trial was conducted in a primary health care setting in Jeddah, Saudi Arabia between December 2014 and June 2015. Arab participants with obesity, but who were otherwise healthy (n=140), were randomized to the ILI (n=70) or AC (n=70) group. The ILI group received 8 clinical visits throughout the study. The AC group received only an initial health education session. The primary outcome was the proportion of participants who achieved clinically significant weight loss (≥5% of their baseline weight).  Results: Participants in the ILI group were significantly more likely than those in the AC group to achieve the primary outcome (p=0.008, relative risk: 1.8 [95% confidence interval [CI]: 1.15 to 2.93). At week 12, the ILI group exhibited a mean weight decrease of 5.58 ± 5.60 kg (-5.37 ± 5.31%), significantly greater than that observed in the AC group (-2.8 ± 4.96 kg, -2.62 ± 4.34%, p=0.002), and corresponding to a weight loss advantage of 2.77 kg (95% CI: 1.01 to 4.54 kg) or 2.75% (95% CI: 1.13% to 4.37%).  Conclusion: The 12-week primary care-based ILI program was effective in achieving a clinically meaningful weight reduction (≥5%) among Saudi and Arab patients with obesity.

  2. An innovative telemedicine knowledge translation program to improve quality of care in intensive care units: protocol for a cluster randomized pragmatic trial

    Directory of Open Access Journals (Sweden)

    Pinto Ruxandra

    2009-02-01

    Full Text Available Abstract Background There are challenges to timely adoption of, and ongoing adherence to, evidence-based practices known to improve patient care in the intensive care unit (ICU. Quality improvement initiatives using a collaborative network approach may increase the use of such practices. Our objective is to evaluate the effectiveness of a novel knowledge translation program for increasing the proportion of patients who appropriately receive the following six evidence-based care practices: venous thromboembolism prophylaxis; ventilator-associated pneumonia prevention; spontaneous breathing trials; catheter-related bloodstream infection prevention; decubitus ulcer prevention; and early enteral nutrition. Methods and design We will conduct a pragmatic cluster randomized active control trial in 15 community ICUs and one academic ICU in Ontario, Canada. The intervention is a multifaceted videoconferenced educational and problem-solving forum to organize knowledge translation strategies, including comparative audit and feedback, educational sessions from content experts, and dissemination of algorithms. Fifteen individual ICUs (clusters will be randomized to receive quality improvement interventions targeting one of the best practices during each of six study phases. Each phase lasts four months during the first study year and three months during the second. At the end of each study phase, ICUs are assigned to an intervention for a best practice not yet received according to a random schedule. The primary analysis will use patient-level process-of-care data to measure the intervention's effect on rates of adoption and adherence of each best practice in the targeted ICU clusters versus controls. Discussion This study design evaluates a new system for knowledge translation and quality improvement across six common ICU problems. All participating ICUs receive quality improvement initiatives during every study phase, improving buy-in. This study design

  3. Central-Line-Associated Bloodstream Infections in Québec Intensive Care Units: Results from the Provincial Healthcare-Associated Infections Surveillance Program (SPIN).

    Science.gov (United States)

    Li, Lynne; Fortin, Elise; Tremblay, Claude; Ngenda-Muadi, Muleka; Quach, Caroline

    2016-10-01

    BACKGROUND Following implementation of bundled practices in 2009 in Quebec and Canadian intensive care units (ICUs), we describe CLABSI epidemiology during the last 8 years in the province of Québec (Canada) and compare rates with Canadian and American benchmarks. METHODS CLABSI incidence rates (IRs) and central venous catheter utilization ratios (CVCURs) by year and ICU type were calculated using 2007-2014 data from the Surveillance Provinciale des Infections Nosocomiales (SPIN) program. Using American and Canadian surveillance data, we compared SPIN IRs to rates in other jurisdictions using standardized incidence ratios (SIRs). RESULTS In total, 1,355 lab-confirmed CLABSIs over 911,205 central venous catheter days (CVC days) were recorded. The overall pooled incidence rate (IR) was 1.49 cases per 1,000 CVC days. IRs for adult teaching ICUs, nonteaching ICUs, neonatal ICUs (NICUs), and pediatric ICUs (PICUs) were 1.04, 0.91, 4.20, and 2.15 cases per 1,000 CVC days, respectively. Using fixed SPIN 2007-2009 benchmarks, CLABSI rates had decreased significantly in all ICUs except for PICUs by 2014. Rates declined by 55% in adult teaching ICUs, 52% in adult nonteaching ICUs, and 38% in NICUs. Using dynamic American and Canadian CLABSI rates as benchmarks, SPIN adult teaching ICU rates were significantly lower and adult nonteaching ICUs had lower or comparable rates, whereas NICU and PICU rates were higher. CONCLUSION Québec ICU CLABSI surveillance shows declining CLABSI rates in adult ICUs. The absence of a decrease in CLABSI rate in NICUs and PICUs highlights the need for continued surveillance and analysis of factors contributing to higher rates in these populations. Infect Control Hosp Epidemiol 2016;1-9.

  4. Baby's Breath II protocol development and design: a secondhand smoke exposure prevention program targeting infants discharged from a neonatal intensive care unit.

    Science.gov (United States)

    Stotts, Angela L; Northrup, Thomas F; Schmitz, Joy M; Green, Charles; Tyson, Jon; Velasquez, Mary M; Khan, Amir; Hovell, Melbourne F

    2013-05-01

    Over one-third of all children live with at least one parent who smokes cigarettes, which is associated with compromised child health. The impact of secondhand smoke exposure (SHSe) in medically fragile infants born prematurely is likely to be much higher. The Baby's Breath II study tests whether a hospital-initiated, motivational-enhancement program will result in less SHSe relative to conventional care in high-risk, low birthweight (LBW) infants discharged from a neonatal intensive care unit (NICU). The design and protocol for the ongoing BBII trial is described. Eligible participants are: (1) primary caregivers (typically mothers) of NICU infants who were born at LBW (smoke or live with at least one smoker. This randomized controlled trial has two conditions: Motivational interviewing plus incentives (MI+) and conventional care (CC). MI+ participants receive two hospital-based and two home-based counseling sessions, as well as incentives (i.e., prize-based draws) for (a) intervention attendance and (b) biochemical validation (i.e., urine cotinine dipstick) indicative of low or no infant SHSe. Participants in the control group receive conventional education-based care. Assessments are completed at baseline, mid-point, and 1- and 4-months post-intervention. This study is the first to determine the efficacy of a brief intervention for reducing SHSe among high-risk, LBW infants discharged from a NICU, with the potential for saving lives and healthcare costs. Strengths, limitations and challenges to the conduct of this trial are discussed. Copyright © 2013 Elsevier Inc. All rights reserved.

  5. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Obesity Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs Measuring Physical Activity Intensity Recommend on Facebook Tweet Share Compartir For more help with what counts as aerobic activity, watch this video: Windows Media Player, 4:48 More videos Here are some ...

  6. [Effects of a recreational general physical activity program with short term and moderate intensity of blood pressure and other cardiovascular risk factors in hypertensive patients over 50 years old].

    Science.gov (United States)

    Torija Archilla, Ana; Pérez González, Javier; Sarmiento Ramírez, Álvaro; Fernández Sánchez, Enrique; González Ruiz, Josué Rubén; Guisado Barrilao, Rafael

    2017-10-01

    To evaluate the effects of a recreational general physical activity program with moderate intensity and short duration on blood pressure and other cardiovascular risk factors (BMI, cholesterol, Rest Heart Rate, HDL, LDL, Triglycerides) in hypertensive patients older than 50years. Non-randomised pre-post design, quasi-experimental study. Íllora, Granada, Spain. A total of 60 subjects aged 50-75years taking part in the Health Hypertensive Program in the Medical Centre were selected. A recreational general physical activity program, mainly aerobic capacity, of 4weeks duration, 3days/week, and an intensity of 45-55% HR Reserve. SBP, DBP, HR, BMI, total cholesterol, HDL, LDL, TG, and Glucose. Statistically significant decreases (Pyears. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  7. The German social democratic party (SPD) and the debate on the fertility decline in the German Empire (1870~1918).

    Science.gov (United States)

    Mun, Soo-Hyun

    2011-12-31

    This paper aimed to examine the debate over the fertility decline in the German Empire, focusing on the role of the SPD. During the German Empire, the fertility rate dramatically declined and the growing awareness of a continuous decline in the birth rate prompted a massive debate among politicians, doctors, sociologists, and feminist activists. The fertility decline was negatively evaluated and generated consciousness of crisis. However, it was not the only way to face this new phenomenon. Indeed, the use of birth control among the upper class was interpreted as a part of a modernizing process. As the same phenomenon reached the working class, it suddenly became a social problem and was attributed to the SPD. The debate over the fertility decline in imperial German society ridden with a fierce class conflict was developed into a weapon against the SPD. Contrary to the assumption of conservative politicians, the SPD had no clear-cut position on this issue. Except for a few politicians like Kautsky and the doctors who came into frequent contact with the workers, the "birth strike" was not listed as the main interest of the SPD. Even Clara Zetkin, the leader of the Social Democratic women's organization viewed it as a concern of the individual person which could not be incorporated in the party program. The women's organization of the SPD put priority on class conflict rather than issues specific to women. As a result, the debate over the birth rate decline within the SPD was not led by the women themselves. There could have been various means to stimulate the birth rate. Improvement in the welfare system, such as tax relief for large families, better housing conditions, and substantial maternity protection, could have been feasible solutions to the demographic crisis. However, Germany chose to respond to this crisis by imposing legal sanctions against birth control. In addition to paragraphs 218-220 of the German criminal law enacted in 1872 which prescribed penal

  8. German innovation initiative for nanotechnology

    Science.gov (United States)

    Rieke, Volker; Bachmann, Gerd

    2004-10-01

    In many areas of nanotechnology, Germany can count on a good knowledge basis due to its diverse activities in nanosciences. This knowledge basis, when paired with the production and sales structures needed for implementation and the internationally renowned German talent for system integration, should consequently lead to success in the marketplace. And this is exactly the field of application for the innovation initiative "Nanotechnologie erobert Märkte" (nanotechnology conquers markets) and for the new BMBF strategy in support of nanotechnology. Until now, aspects of nanotechnology have been advanced within the confines of their respective technical subject areas. However, the primary aim of incorporating them into an overall national strategy is to build on Germany's well-developed and internationally competitive research in science and technology to tap the potential of Germany's important industrial sectors for the application of nanotechnology through joint research projects (leading-edge innovations) that strategically target the value-added chain. This development is to be supported by government education policy to remedy a threatening shortage of skilled professionals. To realize that goal, forward-looking political policymaking must become oriented to a uniform concept of innovation, one that takes into consideration all facets of new technological advances that can contribute to a new culture of innovation in Germany. And that includes education and research policy as well as a climate that encourages and supports innovation in science, business and society.

  9. Early investigations of permafrost in Siberia by Baltic-German and German scientists

    OpenAIRE

    FRITZSCHE, Diedrich; Tammiksaar, Erki

    2016-01-01

    In the 18th and 19th century several German and Baltic-German scientists investigated almost unknown territories of the Russian Empire. Many of them were invited by the Russian Imperators and some became academicians of the St. Petersburg Academy of Sciences,and later had considerable influence on the development of science in Russia in general and on the organization of expeditions to the Far East and Siberia in particular. German naturalists like Georg Wilhelm Steller (1709-1746...

  10. A German format for pupils’ training

    CERN Multimedia

    Antonella Del Rosso

    2012-01-01

    Every year CERN welcomes thousands of pupils from schools worldwide for a half-day visit to the Laboratory. However, since 2011 about ten selected students from Germany have been given the opportunity to experience CERN in much greater depth. They are fully sponsored by the German Ministry of Education and supported by an organising structure at TU Dresden - the Dresden University of Technology - led by Michael Kobel. It’s an investment that's paying off in Germany.   The German teachers who participated in the “Netzwerk Teilchenwelt” project, at CERN last week. “Netzwerk Teilchenwelt” is a project that involves 23 German universities, the DESY Laboratory, several schools and, of course, CERN. Launched in 2010 with a contribution from the German Ministry for Science and Research of about 1 million euros over three years, the project has so far involved over 4,000 students and 500 teachers. “Thanks to this project, both pupils...

  11. (cf) and German dahlem red (gr)

    African Journals Online (AJOL)

    cf) and German dahlem red (gr) chickens and their crossbreds Performance de production et effets de l'heterosis chez les poulets locaux Camerounais et les poulets Allemands dahlem et leurs croisements.

  12. Easy Games for the German Classroom

    Science.gov (United States)

    Kaiser, Linda

    1977-01-01

    The following easy games for the German classroom are described: around Germany, map identifications, fast response, bingo, memory training, geography college bowl, find the object, descriptions, pronunciation perfection, acrostics, simple board games, art lesson, treasure hunt, and miscellaneous games. (SW)

  13. The German Physical Society Under National Socialism

    Science.gov (United States)

    Hoffmann, Dieter; Walker, Mark

    2004-12-01

    The history of the German Physical Society from 1933 to 1945 is not the same as a comprehensive history of physics under Adolf Hitler, but it does reflect important aspects of physicists' work and life during the Third Reich.

  14. Trauma nursing in the German health care system.

    Science.gov (United States)

    Nass, Gertrud E; Kretschmer, Rainer A C

    2002-01-01

    This article provides an overview of the history and current practice of trauma nursing in the German health care system. A description of nursing education, skills, duties, and responsibilities of the nursing workforce is complemented by a brief description of the trauma system. As current demographic developments, structural changes, and medical progress result in a rapidly changing health care environment, tasks for nurses are becoming increasingly complex. The development of academic programs and extended nursing tasks are expected to help manage the upcoming changes and challenges in the manifold processes of patient-centered-nursing-care delivery.

  15. The Great War and German Memory

    DEFF Research Database (Denmark)

    Leese, Peter

    2012-01-01

    Review essay on Jason Crouthamel, The Great War and German Memory. Society, Politics and Psychological Trauma, 1914-18 (2009) and Anton Kaes, Shell Shock Cinema: Weimar Culture and the Wounds of War (2009)......Review essay on Jason Crouthamel, The Great War and German Memory. Society, Politics and Psychological Trauma, 1914-18 (2009) and Anton Kaes, Shell Shock Cinema: Weimar Culture and the Wounds of War (2009)...

  16. Security Analysis of the German Healthcare Telematics

    OpenAIRE

    Sunyaev, Ali;Leimeister, Jan Marco;Schweiger, Andreas;Krcmar, Helmut

    2014-01-01

    The objective of this paper is an analysis of security issues of the forthcoming German healthcare telematics infrastructure. The current analysis reevaluates results from a former security analysis conducted in 2007/08 and introduces new results based on the updated specification documents of the German healthcare telematics. As a result, basics for further security analysis activities are given and corresponding security measures to overcome the identified vulnerabilities are derived. Due t...

  17. Security Analysis of the German Healthcare Telematics

    OpenAIRE

    Sunyaev, Ali; Reeber, Martin; Leimeister, Jan Marco; Krcmar, Helmut

    2009-01-01

    The objective of this paper is an analysis of security issues of the forthcoming German healthcare telematics infrastructure. The current analysis reevaluates results from a former security analysis conducted in 2007/08 and introduces new results based on the updated specification documents of the German healthcare telematics. As a result, basics for further security analysis activities are given and corresponding security measures to overcome the identified vulnerabilities are derived. Due t...

  18. German-Polish Relations. Political and Economic Aspects

    Directory of Open Access Journals (Sweden)

    Rafał Ulatowski

    2016-01-01

    Full Text Available The aim of this article is to analyze the Polish-German relations in the last 25 years. The article will concentrate on the expectations declared in the early 1990s as well as on the results that were achieved. I argue that economic strength was successfully used by the German government to give German-Polish relations a new quality. Polish-German relations are an example of successful implementation of geo-economics strategy by the German government.

  19. [Outpatient multimodal pain therapy : Results of a 1-week intensive outpatient multimodal group program for patients with chronic unspecific back pain - retrospective evaluation after 3 and 12 months].

    Science.gov (United States)

    Reck, T; Dumat, W; Krebs, J; Ljutow, A

    2017-03-03

    Interdisciplinary pain therapy is nowadays the state of the art for the treatment of chronic unspecific back pain. The aim of this article is to present the retrospective analysis of the data from a 1-week intensive outpatient multimodal interdisciplinary pain therapy group program for treatment of patients with chronic unspecific back pain. The questionnaire-based data from patients who attended the program were evaluated before as well as 3 and 12 months after finishing the program. The patients were questioned regarding parameters, such as pain severity, quality of life, pain-related disability, depression and pain acceptance. On average a significant improvement of all parameters after 3 and 12 months could be demonstrated (excluding the domains "social" and "environment" in the context of quality of life). Interestingly, the results showed a significant improvement of almost all evaluated parameters even after a period of 12 months (unfortunately only data for 41 patients were available). In our opinion this improvement is due to the special constellation of the presented program, which with 1 week is relatively short but very intensive with 34 h of treatment. In addition, the program is integrated into a long-term multimodal outpatient treatment, a concept in which the multimodal treatment is individually continued after the 1‑week program. On the other hand, the results especially after 12 months have to be interpreted particularly in this context.

  20. Effects of a 10-Day Intensive Health Promotion Program Combining Diet and Physical Activity on Body Composition, Physical Fitness, and Blood Factors of Young Adults: A Randomized Pilot Study.

    Science.gov (United States)

    Lee, Kyoung Soon; Lee, Jae Koo; Yeun, Young Ran

    2017-04-11

    BACKGROUND A lifestyle characterized by poor eating habits and physical inactivity is a risk factor for multiple lifestyle diseases in young adults. This study assessed the effects of implementing an intensive 10-day health promotion program combining diet and physical activities on body composition, physical fitness, and biochemical parameters of young adults. MATERIAL AND METHODS In this randomized pilot study, 30 female undergraduate students were randomly allocated to an intervention and a control group. The health promotion program consisted of unlimited amounts of vegetarian food; aerobic, flexibility, and strength exercises (3 hours/day); lectures on health (3 hours/day); massage practice (2 hours/day); and healthy cooking practice (1 hour/day). The effects of the intervention were analyzed using the Mann-Whitney U test and the Wilcoxon signed-rank test. RESULTS The intensive 10-day health promotion program significantly reduced body weight, body mass index, triglyceride, total cholesterol, low-density lipoprotein cholesterol, blood glucose, and the homeostasis model assessment of insulin resistance. At the same time, participants demonstrated increased back muscle, leg muscle, and grip strength; waist and shoulder flexibility; balance; and cardiorespiratory endurance. CONCLUSIONS The intensive 10-day health promotion program is a viable intervention for improving body composition, physical fitness, glycemic control, and blood lipid levels in young adults.

  1. A Practical and Time-Efficient High-Intensity Interval Training Program Modifies Cardio-Metabolic Risk Factors in Adults with Risk Factors for Type II Diabetes

    Directory of Open Access Journals (Sweden)

    Bethan E. Phillips

    2017-09-01

    Full Text Available IntroductionRegular physical activity (PA can reduce the risk of developing type 2 diabetes, but adherence to time-orientated (150 min week−1 or more PA guidelines is very poor. A practical and time-efficient PA regime that was equally efficacious at controlling risk factors for cardio-metabolic disease is one solution to this problem. Herein, we evaluate a new time-efficient and genuinely practical high-intensity interval training (HIT protocol in men and women with pre-existing risk factors for type 2 diabetes.Materials and methodsOne hundred eighty-nine sedentary women (n = 101 and men (n = 88 with impaired glucose tolerance and/or a body mass index >27 kg m−2 [mean (range age: 36 (18–53 years] participated in this multi-center study. Each completed a fully supervised 6-week HIT protocol at work-loads equivalent to ~100 or ~125% V˙O2 max. Change in V˙O2 max was used to monitor protocol efficacy, while Actiheart™ monitors were used to determine PA during four, weeklong, periods. Mean arterial (blood pressure (MAP and fasting insulin resistance [homeostatic model assessment (HOMA-IR] represent key health biomarker outcomes.ResultsThe higher intensity bouts (~125% V˙O2 max used during a 5-by-1 min HIT protocol resulted in a robust increase in V˙O2 max (136 participants, +10.0%, p < 0.001; large size effect. 5-by-1 HIT reduced MAP (~3%; p < 0.001 and HOMA-IR (~16%; p < 0.01. Physiological responses were similar in men and women while a sizeable proportion of the training-induced changes in V˙O2 max, MAP, and HOMA-IR was retained 3 weeks after cessation of training. The supervised HIT sessions accounted for the entire quantifiable increase in PA, and this equated to 400 metabolic equivalent (MET min week−1. Meta-analysis indicated that 5-by-1 HIT matched the efficacy and variability of a time-consuming 30-week PA program on V˙O2 max, MAP, and HOMA-IR.ConclusionWith a total time-commitment of

  2. Gender in Italian-German Bilinguals: A Comparison with German L2 Learners of Italian

    Science.gov (United States)

    Bianchi, Giulia

    2013-01-01

    This study compares mastery of gender assignment and agreement in Italian by adult Italian-German bilinguals who have acquired two languages simultaneously (2L1), and by adult German highly proficient second language learners (L2ers) of Italian. Our data show that incompleteness in bilingual acquisition and in second language (L2) acquisition…

  3. The German Economy and U.S.-German Economic Relations

    Science.gov (United States)

    2009-11-30

    Investment Flows ($ billions)...................................................... 14 Contacts Author Contact Information...of Germany: Adapting to Europeanisation and Globalisation ,” In Germany’s Gathering Crisis: The 2005 Federal Election and the Grand Coalition, eds...European approaches to fixing the banking sector, to join in coordinated cooperative spending programs, and to deal with the Central European financial

  4. Intensive mobilities

    DEFF Research Database (Denmark)

    Vannini, Phillip; Bissell, David; Jensen, Ole B.

    which relate to transport, housing and employment. Yet we argue that the experiential dimensions of long distance mobilities have not received the attention that they deserve within geographical research on mobilities. This paper combines ideas from mobilities research and contemporary social theory......This paper explores the intensities of long distance commuting journeys as a way of exploring how bodily sensibilities are being changed by the mobilities that they undertake. The context of this paper is that many people are travelling further to work than ever before owing to a variety of factors...... with fieldwork conducted in Canada, Denmark and Australia to develop our understanding of the experiential politics of long distance workers. Rather than focusing on the extensive dimensions of mobilities that are implicated in patterns and trends, our paper turns to the intensive dimensions of this experience...

  5. [Nationwide evaluation of German university teaching methods in neurology].

    Science.gov (United States)

    Biesalski, A-S; Zupanic, M; Isenmann, S

    2015-06-01

    Germany is confronted with a lack of medical doctors and an increasing need for neurologists in particular. In order to recruit future doctors in neurology it is essential to attract young students when still at university. This article presents the first German national survey of medical students' acceptance of teaching methods in neurology. The participants evaluated teaching methods and examination formats and were asked about their preferences. The survey was based on a questionnaire distributed to 22 German medical schools and 1245 participating students. Interactive teaching methods, especially courses in practical examinations, clinical internships and bedside teaching were highly rated among the students. In contrast, multiple choice tests, as one of the most widespread examination methods, were poorly rated compared to practical and oral examinations. For most of the students it was not decisive, in which semester teaching of neurology took place, while the majority asked for additional and more intensive neurological education. The data give an overview of teaching of neurology in Germany and students' assessment of various approaches. The results should be utilized towards reorientation of future curricula that should aim at innovative and even more practically oriented teaching.

  6. German neutron scattering conference. Programme and abstracts

    Energy Technology Data Exchange (ETDEWEB)

    Brueckel, Thomas (ed.)

    2012-07-01

    The German Neutron Scattering Conference 2012 - Deutsche Neutronenstreutagung DN 2012 offers a forum for the presentation and critical discussion of recent results obtained with neutron scattering and complementary techniques. The meeting is organized on behalf of the German Committee for Research with Neutrons - Komitee Forschung mit Neutronen KFN - by the Juelich Centre for Neutron Science JCNS of Forschungszentrum Juelich GmbH. In between the large European and international neutron scattering conferences ECNS (2011 in Prague) and ICNS (2013 in Edinburgh), it offers the vibrant German and international neutron community an opportunity to debate topical issues in a stimulating atmosphere. Originating from ''BMBF Verbundtreffen'' - meetings for projects funded by the German Federal Ministry of Education and Research - this conference series has a strong tradition of providing a forum for the discussion of collaborative research projects and future developments in the field of research with neutrons in general. Neutron scattering, by its very nature, is used as a powerful probe in many different disciplines and areas, from particle and condensed matter physics through to chemistry, biology, materials sciences, engineering sciences, right up to geology and cultural heritage; the German Neutron Scattering Conference thus provides a unique chance for exploring interdisciplinary research opportunities. It also serves as a showcase for recent method and instrument developments and to inform users of new advances at neutron facilities.

  7. Psychiatric care in the German prison system.

    Science.gov (United States)

    Lehmann, Marc

    2012-01-01

    The purpose of this paper is to describe the nature of medical care within the German penal system. German prison services provide health care for all inmates, including psychiatric care. The reached level of equivalence of care and ethical problems and resource limitations are discussed and the way of legislation in this field since 2006 reform on federal law is described. The article summarizes basic data on German prison health care for mentally ill inmates. The legislation process and factors of influence are pointed out. A description of how psychiatric care is organized in German prisons follows. It focuses on the actual legal situation including European standards of prison health care and prevention of torture, psychiatric care in German prisons themselves, self harm and addiction. Associated problems such as blood born diseases and tuberculosis are included. The interactions between prison staff and health care personal and ethic aspects are discussed. The legislation process is still going on and there is still a chance to improve psychiatric care. Mental health problems are the major challenge for prison health care. Factors such as special problems of migrants, shortage of professionals and pure statistic data are considered. The paper provides a general overview on psychiatric services in prison and names weak points and strengths of the system.

  8. Water chemistry practice at German BWR plants

    Energy Technology Data Exchange (ETDEWEB)

    Stellwag, B. [Framatome ANP GmbH, Erlangen (Germany); Staudt, U. [VGB PowerTech e.V., Essen (Germany)

    2005-02-01

    As visual examinations carried out in 1994 detected cracks in a German boiling water reactor (BWR) plant due to intergranular stress corrosion cracking in core shroud components manufactured from Nb-stabilized CrNi steel 1.4550, safety-related assessments and in-service inspections were subsequently performed for the other six German BWRs. No cracks were found in the core shrouds of these plants. The second major event in the early 1990s was the detection of cracks at various German BWRs in piping systems made of Ti-stabilized CrNi steel 1.4541 caused by thermal sensitization in the heat-affected zone of welds. Comprehensive investigations resulted in a number of remedial measures (repair, replacement) implemented at piping in contact with reactor coolant of temperatures above 200 C. Thanks to the remedial measures and according to the analyses performed, cracking in the components in question due to the considered damage mechanisms need not be expected. German operators have therefore continued operating their BWR plants on normal water chemistry with an oxidizing environment. As a precaution, more stringent reactor coolant quality requirements have been specified and the limiting values of VGB Guideline R 401 J revised. This paper gives an overview of the trends in chemistry parameters at German BWR plants in the past 10 years. In addition, other relevant experience gained from the German BWR plants operating under normal water chemistry conditions is outlined: dose rates and collective doses, fuel performance, and results of periodic in-service inspections of major components of the reactor system. In the nearly 10 years of plant operation since implementation of the remedial measures, no cracks or other indications have been detected in any of the systems and components concerned. (orig.)

  9. Performance profiles of German university dermatology departments.

    Science.gov (United States)

    Beikert, Florian C; Stadler, Rudolf; Kaufmann, Roland; Augustin, Matthias

    2013-02-01

    German university medical centers are important institutions for scientific research, academic teaching and patient care representing crucial components of academic education, medical specialist training and health services research. The aim was to analyze the structure and performance of the dermatology departments at German university medical centers. Nationwide survey of the heads of the dermatology departments at German university medical centers (n = 35) using a standardized questionnaire on the department's performance profiles in inpatient and outpatient care, financial remuneration, research output and the anticipated development of the department. Data from 2010 on 33 of 35 (94.3%) dermatology departments at German university medical centers were analyzed. The mean number of inpatient beds of the departments was 57 (range 24-133) with a utilization of bed capacity of 86% on average. The mean case mix of the 2,494 inpatient cases per year was 1,748, the reported mean case mix index was 0.83. On average, 21,973 cases (range 5,284-92,547) were treated at university outpatient clinics. Of the 33 participating departments of dermatology 22 were placed within the top third of their faculty regarding research funding. The most important components of patient care included surgical dermatology (31.4%), dermato-oncology (16.9%) and general dermatology (32.1%). Covering the whole spectrum of dermatology, the dermatology departments of German university medical centers show extraordinary performances in both patient care and scientific research. They considerably contribute to the overall performance and the economic outcome of the German university medical centers and are an integral part of these institutions. © The Authors | Journal compilation © Blackwell Verlag GmbH, Berlin.

  10. Impacts on Breastfeeding Practices of At-Scale Strategies That Combine Intensive Interpersonal Counseling, Mass Media, and Community Mobilization: Results of Cluster-Randomized Program Evaluations in Bangladesh and Viet Nam.

    Science.gov (United States)

    Menon, Purnima; Nguyen, Phuong Hong; Saha, Kuntal Kumar; Khaled, Adiba; Kennedy, Andrew; Tran, Lan Mai; Sanghvi, Tina; Hajeebhoy, Nemat; Baker, Jean; Alayon, Silvia; Afsana, Kaosar; Haque, Raisul; Frongillo, Edward A; Ruel, Marie T; Rawat, Rahul

    2016-10-01

    Despite recommendations supporting optimal breastfeeding, the number of women practicing exclusive breastfeeding (EBF) remains low, and few interventions have demonstrated implementation and impact at scale. Alive & Thrive was implemented over a period of 6 y (2009-2014) and aimed to improve breastfeeding practices through intensified interpersonal counseling (IPC), mass media (MM), and community mobilization (CM) intervention components delivered at scale in the context of policy advocacy (PA) in Bangladesh and Viet Nam. In Bangladesh, IPC was delivered through a large non-governmental health program; in Viet Nam, it was integrated into government health facilities. This study evaluated the population-level impact of intensified IPC, MM, CM, and PA (intensive) compared to standard nutrition counseling and less intensive MM, CM, and PA (non-intensive) on breastfeeding practices in these two countries. A cluster-randomized evaluation design was employed in each country. For the evaluation sample, 20 sub-districts in Bangladesh and 40 communes in Viet Nam were randomized to either the intensive or the non-intensive group. Cross-sectional surveys (n ~ 500 children 0-5.9 mo old per group per country) were implemented at baseline (June 7-August 29, 2010, in Viet Nam; April 28-June 26, 2010, in Bangladesh) and endline (June 16-August 30, 2014, in Viet Nam; April 20-June 23, 2014, in Bangladesh). Difference-in-differences estimates (DDEs) of impact were calculated, adjusting for clustering. In Bangladesh, improvements were significantly greater in the intensive compared to the non-intensive group for the proportion of women who reported practicing EBF in the previous 24 h (DDE 36.2 percentage points [pp], 95% CI 21.0-51.5, p < 0.001; prevalence in intensive group rose from 48.5% to 87.6%) and engaging in early initiation of breastfeeding (EIBF) (16.7 pp, 95% CI 2.8-30.6, p = 0.021; 63.7% to 94.2%). In Viet Nam, EBF increases were greater in the intensive group (27.9 pp

  11. Vowel Epenthesis in Early Germanic Runic Inscriptions

    OpenAIRE

    Damsma, Levi; Versloot, Arjen

    2015-01-01

    A number of runic inscriptions from the entire Germanic area from between A.D. 200 and 800 exhibit non-etymological, epenthetic vowels, such as worahto for *worhto ‘did’. An analysis of all (likely) instances of epen­thesis in early Ger­manic languages shows that epenthesis developed only in clusters involv­ing /r/, /l/ or /n/. Epenthesis was an optional feature of nearly every early Germanic dialect, being most abundantly attested in southern Sweden. There is no statis­ti­cally sig­nif­icant...

  12. 'German Angst' vs 'Danish Easy Going'?

    DEFF Research Database (Denmark)

    Fersch, Barbara

    2012-01-01

    Highly flexible workers such as freelancers are particularly exposed to insecurity. In this article I explore the role and relevance of insecurity and uncertainty in the lives of freelancers in Denmark and Germany and especially the marked difference I have found in freelancers’ narratives along...... national lines. Whereas insecurity and its related fear and anxiety played a huge role in the German interviews (‘German Angst’), the Danish freelancers attached less importance to the topic of insecurity and showed almost no sign of related anxiety (‘Danish Easy-going’). Some reasons for this can be found...

  13. Darwin: German mystic or French rationalist?

    Science.gov (United States)

    Ghiselin, Michael T

    2015-01-01

    The notion that Charles Darwin embraced the German Romantic tradition seems plausible, given the early influence of Alexander von Humboldt. But this view fails to do justice to other scientific traditions. Darwin was a protégé of the Englishman John Stevens Henslow and was a follower of the Scott Charles Lyell. He had important debts to French scientists, notably Henri Milne-Edwards, Etienne and Isidore Geoffroy Saint-Hilaire, and Alphonse de Candolle. Many Germans were quite supportive of Darwin, but not all of these were encumbered by idealistic metaphysical baggage. Both Darwin and Anton Dohrn treated science as very much a cosmopolitan enterprise.

  14. War, suffering and modern German history.

    Science.gov (United States)

    Hansen, Randall

    2011-01-01

    This introduction proceeds in five steps. First, it briefly considers the etymology of the term "suffering," as well as the way in which scholars from different disciplines have approached it conceptually and empirically. Second, drawing on the contributions to this issue, it raises general themes emerging from the study of the Thirty Years, Franco-Prussian and First World Wars, with particular attention to gender, the disabled, and Jewish-German veterans. Finally, it considers the most politically contested field of German suffering - the Second World War - and reflects on how that suffering can be narrated and understood without running into the intellectual dead ends of either self-pity or collective guilt.

  15. The HART-II Test: Rotor Wakes and Aeroacoustics with Higher-Harmonic Pitch Control (HHC) Inputs - The Joint German/French/Dutch/US Project

    National Research Council Canada - National Science Library

    Yu, Yung H; Tung, Chee; van der Wall, Berend; Pausder, Heinz-Juergen; Burley, Casey; Brooks, Thomas; Beaumier, Philippe; Delrieux, Yves; Mercker, Edzard; Pengel, Kurt

    2002-01-01

    ...) conducted a comprehensive experimental program in October 2001 with a 40%-geometrically and aeroelastically scaled model of a BO-105 main rotor in the open-jet anechoic test section of the German-Dutch Windtunnel (DNW...

  16. Low-dose decitabine versus best supportive care in elderly patients with intermediate- or high-risk myelodysplastic syndrome (MDS) ineligible for intensive chemotherapy: final results of the randomized phase III study of the European Organisation for Research and Treatment of Cancer Leukemia Group and the German MDS Study Group

    NARCIS (Netherlands)

    Lubbert, M.; Suciu, S.; Baila, L.; Ruter, B.H.; Platzbecker, U.; Giagounidis, A.; Selleslag, D.; Labar, B.; Germing, U.; Salih, H.R.; Beeldens, F.; Muus, P.; Pfluger, K.H.; Coens, C.; Hagemeijer, A.; Eckart Schaefer, H.; Ganser, A.; Aul, C.; Witte, T.J.M. de; Wijermans, P.W.

    2011-01-01

    PURPOSE: To compare low-dose decitabine to best supportive care (BSC) in higher-risk patients with myelodysplastic syndrome (MDS) age 60 years or older and ineligible for intensive chemotherapy. PATIENTS AND METHODS: Two-hundred thirty-three patients (median age, 70 years; range, 60 to 90 years)

  17. Managing export success – An empirical picture of German wineries’ performance

    Directory of Open Access Journals (Sweden)

    Dressler Marc

    2015-01-01

    Full Text Available Export represents an important strategic lever for enterprises to reach new clients, to diversify, and to participate in regional economic growth. An online based survey invited more than 800 wine experts to assess wine export success factors as well as the performance of German producers. The questionnaire tested a literature based success factor framework with the four success factors. The experts assessed the relevance of the levers for the wine industry and the performance of German produc- ers. Respondents judged all four success factors as well as all underlying 27 criteria to be relevant in the wine industry. Export strategy receives highest value of the success factor rating. The survey depicts a heterogeneous performance of German produc- ers comparing the success factors but a homogeneous performance for all the underlying criteria within each success factor. The responses reveal a performance gap for the success factors export commitment and export strategy. For the success factor export knowledge German producers apparently overperform. Export programs are of importance and in the case of Germany appar- ently meet the needed level of support and activity. The results thereby support empiric findings in the context of cultural differ- ences of different nations. The study provides orientation for German wine producers but also small and medium enterprises of other industries.

  18. Intensive Care

    Science.gov (United States)

    Edmunds, Lavinia

    2004-01-01

    This article describes how two Baltimore teachers, Rachel Rosenblatt and Linda Andersen, provide tutorial work with hospital patients at the Kennedy Krieger Institute. Their work is part of the in-hospital educational aid offered by Baltimore school district to help students recover from serious illnesses or injuries. The Baltimore program, which…

  19. Deutsch Durch Audio-Visuelle Methode: An Audio-Lingual-Oral Approach to the Teaching of German.

    Science.gov (United States)

    Dickinson Public Schools, ND. Instructional Media Center.

    This teaching guide, designed to accompany Chilton's "Deutsch Durch Audio-Visuelle Methode" for German 1 and 2 in a three-year secondary school program, focuses major attention on the operational plan of the program and a student orientation unit. A section on teaching a unit discusses four phases: (1) presentation, (2) explanation, (3)…

  20. [The influence of timing of surgery on mortality and early complications in femoral neck fractures, by surgical procedure: an analysis of 22,566 cases from the German External Quality Assurance Program].

    Science.gov (United States)

    Kostuj, T; Smektala, R; Schulze-Raestrup, U; Müller-Mai, C

    2013-02-01

    The current S2 guideline recommends treatment of a femoral neck fracture within the first 24 h; this becomes evident by the significant rise in general and early surgical complications, when the surgical treatment was delayed for more than 48 h. The influence of different surgical procedures was investigated. PATIENTS UND METHODS: A total of 22,566 records from the external Quality Assurance Program in North Rhine-Westphalia for treatment of femoral neck fractures in 2004/2005 (BQS specification 7.0 and 8.0) were risk-adjusted and evaluated. Surgery was performed within 48 h in 83.9% of the patients. A significant rise in general and early surgical complications was registered when the surgical treatment was delayed for more than 48 h. Mortality and general complications were significantly lower for percutaneous screw fixation. All kinds of joint replacement show significantly higher general and surgical complications. The analyzed data support the rating of femoral neck fracture as requiring the intervention of urgent early surgery, as stated in the guideline. Percutaneous screw fixation can be considered for immobile and multimorbid patients with undislocated fractures. Advantages of total hip replacement compared to hemiarthroplasty cannot be supported by the QS-NRW data.

  1. Study protocol for the FITR Heart Study: Feasibility, safety, adherence, and efficacy of high intensity interval training in a hospital-initiated rehabilitation program for coronary heart disease

    Directory of Open Access Journals (Sweden)

    Jenna Taylor

    2017-12-01

    Conclusions: This study aims to address the ongoing concerns regarding the practicality and safety of HIIT in CR programs. We anticipate study findings will lead to the development of a standardized protocol to facilitate CR programs to incorporate HIIT as a standard exercise option for appropriate patients.

  2. DYNAMIC HIP ADDUCTION, ABDUCTION AND ABDOMINAL EXERCISES FROM THE HOLMICH GROIN-INJURY PREVENTION PROGRAM ARE INTENSE ENOUGH TO BE CONSIDERED STRENGTHENING EXERCISES - A CROSS-SECTIONAL STUDY

    DEFF Research Database (Denmark)

    Krommes, Kasper; Bandholm, Thomas; Jakobsen, Markus D

    2017-01-01

    BACKGROUND: Training intensity is an important variable in strength training and above 80% of one repetition maximum is recommended for promoting strength for athletes. Four dynamic and two isometric on-field exercises are included in the Hölmich groin-injury prevention study that initially faile...

  3. [The Rockefeller Foundation and its efforts toward a reorientation of German medicine and public health in the 1950s].

    Science.gov (United States)

    Schleiermacher, Sabine

    2010-01-01

    The Rockefeller Foundation invested substantial funds into promoting the development of public health as a discipline and a re-orientation of medical training in West Germany to support the democratization of German society. Not limiting itself to the simple provision of literature, the Foundation pursued a two-pronged strategy. Firstly, the Foundation organized a program for German university physicians and public health officers to visit various universities and teaching hospitals in the USA and Canada. A second aim was to establish training institutes for postgraduate physicians. However, rather than simply imposing the US model, the Foundation intended to adapt it to the German context, in the form of a postgraduate course for physicians that integrated practical experience with a university setting. My research to date shows that the Foundation's activities did not meet with much enthusiasm from German medical professionals. Intellectual, cultural, cognitive and political differences impaired constructive collaboration between the Foundation's staff and local practitioners and academics.

  4. [Different explanatory models for addictive behavior in Turkish and German youths in Germany: significance for prevention and treatment].

    Science.gov (United States)

    Penka, S; Krieg, S; Hunner, Ch; Heinz, A

    2003-07-01

    Due to cultural and social barriers, immigrants seldom frequent centers for information, counseling, and treatment of addictive disorders. We examine cultural differences in the explanatory models of addictive behavior among Turkish and German youths in Germany with statistical devices that map the concepts associated with problems of addiction. Relevant differences were found between the disorder concepts of Turkish and German youth. German but not Turkish youths classified eating disorders among severe addictive disorders and associated them with embarrassment and shame. Concerning substance abuse, German but not Turkish youths clearly differentiated between illegal drug abuse and the abuse of alcohol and nicotine. Nearly half of all Turkish youths rejected central medical concepts such as "physical dependence" or "reduced control of substance intake" as completely inadequate to characterize problems of addictive behavior. Preventive information programs must consider these differences and use concepts that are accepted and clearly associated with addictive behavior by immigrant populations.

  5. High-Speed Maglev Trains; German Safety Requirements

    Science.gov (United States)

    1991-12-31

    This document is a translation of technology-specific safety requirements developed : for the German Transrapid Maglev technology. These requirements were developed by a : working group composed of representatives of German Federal Railways (DB), Tes...

  6. The German fibromyalgia consumer reports - a cross-sectional survey

    National Research Council Canada - National Science Library

    Häuser, Winfried; Jung, Eva; Erbslöh-Möller, Brigitte; Gesmann, Mechthild; Kühn-Becker, Hedi; Petermann, Franz; Langhorst, Jost; Thoma, Reinhard; Weiss, Thomas; Wolfe, Frederick; Winkelmann, Andreas

    2012-01-01

    ...). The questionnaire was distributed by the German League for people with Arthritis and Rheumatism and the German Fibromyalgia Association to their members and to all consecutive FMS patients of nine...

  7. Gifted Education in German-Speaking Europe

    Science.gov (United States)

    Ziegler, Albert; Stoeger, Heidrun; Harder, Bettina; Balestrini, Daniel Patrick

    2013-01-01

    The authors first briefly describe how the concepts of talents and giftedness found in German-speaking Europe have evolved in the school system and in general over the past two centuries, and how the variety of gifted-education efforts found within and beyond schools as well as counseling efforts attest to these changes. They then discuss four…

  8. German energy market 2016; Deutscher Energiemarkt 2016

    Energy Technology Data Exchange (ETDEWEB)

    Schiffer, Hans-Wilhelm [World Energy Council, London (United Kingdom). World Energy Resources; Weltenergierat, Berlin (Germany). Arbeitsgruppe Energie fuer Deutschland

    2017-03-15

    The basic orientation of the German energy supply to the increased use of renewable energies, while increasing energy efficiency, is prediscribed by the German government's energy concept and determines the market development. A current overview of the German energy market is given, which provides also this year a concentrated Compilation of the key data of the energy industry. As in the years before, the article not only summarizes general facts about the energy mix, but also goes into detail on the development of the individual energy sources, petroleum, natural gas, brown coal and hard coal, electricity as well as renewable energies. Furthermore, the price trends of international markets and in the domestic market are explained. A current overview of the development of greenhouse gas emissions concludes the contribution. [German] Die im Energiekonzept der Bundesregierung vorgegebene Grundausrichtung der deutschen Energieversorgung hin zur verstaerkten Nutzung erneuerbarer Energien bei gleichzeitiger Steigerung der Energieeffizienz bestimmt die Marktentwicklung. Vorliegend wird ein aktueller Ueberblick ueber den deutschen Energiemarkt gegeben, der auch in diesem Jahr eine konzentrierte Zusammenstellung der zentralen Eckdaten der Energiewirtschaft leistet. Wie in den Jahren zuvor fasst der Artikel nicht nur allgemeine Fakten zum Energiemix zusammen, sondern geht auch ausfuehrlich auf die Entwicklung der einzelnen Energietraeger Erdoel, Erdgas, Braun- und Steinkohle, Elektrizitaet sowie regenerative Energien ein. Ferner werden die Preistendenzen auf den internationalen Maerkten und im Inland erlaeutert. Eine aktuelle Uebersicht ueber die Entwicklung der Treibhausgas-Emissionen schliesst den Beitrag ab.

  9. Germans, History, and the Nazi Past.

    Science.gov (United States)

    Young, Anne P.

    1981-01-01

    Discusses opposite findings of researchers concerning the amount of time given to the study of Hitler and the Third Reich in German Secondary Schools. Considers the relationship among scholarly work on the Nazi era, influences of the work on secondary school teachers, impact of curriculum reform, and effects of government educational…

  10. German Submarine Offensives and South African Countermeasures

    African Journals Online (AJOL)

    Evert

    'Good Hunting': German Submarine Offensives and South African. Countermeasures off the South African Coast during the Second World. War, 1942-1945. Evert Kleynhans. •. Abstract .... wolf packs south, Dönitz had hoped to cause a diversionary effect whereby the Allies would be forced to split their defensive forces ...

  11. German Strategic Deception in the 1930s.

    Science.gov (United States)

    1980-07-01

    sympathy shown for Germany’s "well- known" policy; the sudden seizure of the Cameroons by a German doctor armed with officially-obtained British letters...Policy (HMSO: London, 1976). Gilbert, Martin, Winston S. Churchill, The Prophet of Truth (Houghton Mifflin: Boston, 1977). Gooch, G.P., and H

  12. Culture Curriculum for German, Level II.

    Science.gov (United States)

    Oetiker, Rosemary

    This teacher's guide to cultural instruction in a level-2 German course is designed to be used with the text "Deutsch, Erstes Buch, Erster Teil." Instructional observations pertain to the seventh through the 12th lessons and comprise the major portion of this text including: )1) die Eisenbahn, (2) Reisen und Essen in Deutschland, (3) die Familie,…

  13. Fractures in German elite male soccer.

    Science.gov (United States)

    Schiffner, Erik; Latz, David; Grassmann, Jan P; Schek, Alberto; Scholz, Armin; Windolf, Joachim; Jungbluth, Pascal; Schneppendahl, Johannes

    2017-10-27

    Aim of this retrospective cohort study was to identify fracture epidemiology and off times after different types of fractures in German male elite soccer players from the first division Bundesliga based on information from the public media. Exposure and fracture data over 7.5 consecutive seasons (2009/10 -1.Half 2016/17) were collected from two media based register (transfermarkt.de® and kicker.de®). 357 fractures from 290 different players were recorded with an incidences of 0.19/1000 h of exposure (95% 0.14 - 0.24). Most fractures in German elite soccer players involved the lower extremities (35.3%), the head/face (30.3%) and the upper extremities (24.9%). The median off time after a fracture in German elite male professional soccer in 7.5 Season was 51.1 days (range 0-144). The number of fractures per 100 players per season decreased between 2009 and 2016. There was no significant difference in overall fracture incidence when comparing players at different position (p=0.11). Goalkeepers have a significantly (pelite soccer. The incidence of fractures in elite German soccer players decreased between 2009 and 2016. The most fractures occur in the lower extremities and there is no difference in overall fracture risk for players at different playing positions. The information from our study might be of a great importance to medical practitioners, soccer coaches and soccer manager.

  14. Michael Sadler and the German Connection.

    Science.gov (United States)

    Higginson, J. H.

    1990-01-01

    Chronicles works of Michael Sadler who compared British and German educational systems, emphasizing Germany's contributions in technical education. Presents Sadler's 1912 recommendations--eight lessons premised upon powerful centralized government's ability to implement policy. Reflects on how World War I and Nazism influenced Sadler's thought and…

  15. The German Interlinguistics Society Gesellschaft fur Interlinguistik.

    Science.gov (United States)

    O Riain, Sean

    2003-01-01

    Describes the German interlinguistics society Gesellschaft fur Interlinguistik (GIL), which was founded to bring together interlinguistics and esperantology scholars. Highlights GIL's principal fields of activity and discusses its role in the fields of international linguistic communication, language planning, esperantolgy, and the teaching of…

  16. Tense and Agreement in German Agrammatism

    Science.gov (United States)

    Wenzlaff, Michaela; Clahsen, Harald

    2004-01-01

    This study presents results from sentence-completion and grammaticality-judgment tasks with 7 German-speaking agrammatic aphasics and 7 age-matched control subjects examining tense and subject-verb agreement marking. For both experimental tasks, we found that the aphasics achieved high correctness scores for agreement, while tense marking was…

  17. Possessional Adjectives in English and German

    Science.gov (United States)

    Todenhagen, Christian

    1975-01-01

    It is argued that contrastive linguistics cannot necessarily be used to simplify teaching of a foreign language by leaving out areas in which the mother tongue and target language are similar. Possessional adjectives in English and German are discussed in support of this argument. (RM)

  18. Suicidal ideation in German primary care

    NARCIS (Netherlands)

    Wiborg, J.F.; Gieseler, D.; Lowe, B.

    2013-01-01

    OBJECTIVE: To examine suicidal ideation in a sample of German primary care patients. METHODS: We conducted a cross-sectional study and included 1455 primary care patients who visited 1 of 41 general practitioners (GPs) working at 19 different sites. Suicidal ideation and psychopathology were

  19. Gifted Education in German-Speaking Countries

    Science.gov (United States)

    Herrmann, Anna; Nevo, Baruch

    2011-01-01

    The purpose of this article is to provide the reader with a comprehensive yet detailed account of the current giftedness and gifted education situation in Austria, Germany, and Switzerland. It is concerned with four main research questions: (1) How is "giftedness" defined in German-speaking countries? (2) How are gifted children…

  20. Vygotsky, Consciousness, and the German Psycholinguistic Tradition

    Science.gov (United States)

    Leitch, David G.

    2011-01-01

    This article argues that Vygotsky's choice of word meaning as the basic unit of analysis for cultural psychology connects him to a German psycholinguistic tradition--exemplified in the work of G. W. F. Hegel and J. G. Herder--distinct from the Marxist tradition. While later commentators criticize Vygotsky's reliance on word meaning, arguing that…

  1. German Foreign Fighters in Syria and Iraq

    Science.gov (United States)

    2016-03-01

    provided with n=378, unless otherwise indicated. In the Berlin report (which also provides more complete picture of its 60 subjects), the...more complete picture and potentially inform future academic studies of the foreign fighter phenomenon... Saxony and Baden-Württemberg. When adjusted for state population, the German city- state of Bremen ranks first with the highest fighter/population

  2. German and Russian Adolescents' Environmental Awareness.

    Science.gov (United States)

    Szagun, Gisela; Pavlov, Vladimir I.

    German (n=610) and Russian (n=610) adolescents in 3 age groups, 12, 15, and 18 years, were given a questionnaire assessing their feelings towards environmental destruction, their readiness for pro-environmental action, and their ethical attitude toward nature. In both nationalities anxiety, sadness, and anger about environmental destruction were…

  3. Attitudes of German Student Teachers on Inclusion

    Science.gov (United States)

    Baar, Robert

    2016-01-01

    The contribution discusses attitudes of German Teacher Training Students on Inclusion based on an empirical analysis containing three elements: Evaluation of students' written exams, results of a survey with closed as open questions and the interpretation of group discussions among students about inclusion. One can see that, though the found-out…

  4. DIMA – Annotation guidelines for German intonation

    DEFF Research Database (Denmark)

    Kügler, Frank; Smolibocki, Bernadett; Arnold, Denis

    2015-01-01

    easier since German intonation is currently annotated according to different models. To this end, we aim to provide guidelines that are easy to learn. The guidelines were evaluated running an inter-annotator reliability study on three different speech styles (read speech, monologue and dialogue...

  5. The perception of the fehmarnbelt connection among german stakeholders

    DEFF Research Database (Denmark)

    Lohse, Sandrina; Jespersen, Per Homann

    This report gives an overview of the planned improvements of the German hinterland infrastructure connected to the fixed Fehmarn Belt Link (FBL), as well as the views of the key German stake holders towards the FBL.......This report gives an overview of the planned improvements of the German hinterland infrastructure connected to the fixed Fehmarn Belt Link (FBL), as well as the views of the key German stake holders towards the FBL....

  6. Intensity vs. Duration: Comparing the Effects of a Fluency-Based Reading Intervention Program, in After-School vs. Summer School Settings

    Science.gov (United States)

    Katzir, Tami; Goldberg, Alyssa; Aryeh, Terry Joffe Ben; Donnelley, Katharine; Wolf, Maryanne

    2013-01-01

    Two versions of RAVE-O, a fluency-based reading intervention were examined over a 2-intervention period: a 9-month, 44-hour afterschool intervention program, and a month long, 44-hour summer intervention program. 80 children in grades 1-3 were tested on the two subtests of the Test of Word-Reading Efficiency and were assigned to one of 6 groups…

  7. The Herero genocide : German unity, settlers, soldiers, and ideas

    NARCIS (Netherlands)

    Gewald, J.B.; Bechhaus-Gerst, M.; Klein-Arendt, R.

    2003-01-01

    Between 1904 and 1908 imperial German troops committed genocide in German South West Africa, present-day Namibia. African survivors of the war were cruelly treated, placed in camps and put to work as forced labourers. This paper addresses the question of why German soldiers and settlers committed

  8. 75 FR 62453 - German-American Day, 2010

    Science.gov (United States)

    2010-10-12

    ... shores in search of freedom, opportunity, and the chance at a better life. The German men and women who... ancestry who have been an integral part of our national life. On German-American Day, we pay tribute to the... lives on in the men, women, and families of German descent who enhance civic engagement, steer our...

  9. Reference Resources in German Literature: An Annotated Guide.

    Science.gov (United States)

    Feder, Helga

    This guide is a selection of important reference sources for research in German literature. All major bibliographies and other German reference works, covering the earliest to the most recent literature are included. Important German reference works listing international materials are also included. With the exception of translation sources, the…

  10. Perception of the Relevance of Organic Chemistry in a German Pharmacy Students' Course.

    Science.gov (United States)

    Wehle, Sarah; Decker, Michael

    2016-04-25

    Objective. To investigate German pharmacy students' attitudes toward the relevance of organic chemistry training in Julius Maximilian University (JMU) of Würzburg with regard to subsequent courses in the curricula and in later prospective career options. Methods. Surveys were conducted in the second-year organic chemistry course (50 participants) as well as during the third-year and fourth-year lecture cycle on medicinal and pharmaceutical chemistry (66 participants) in 2014. Results. Students' attitudes were surprisingly consistent throughout the progress of the degree course. Students considered organic chemistry very relevant to the pharmacy study program (95% junior and 97% senior students), and of importance for their future pharmacy program (88% junior and 94% senior students). With regard to prospective career options, the perceived relevance was considerably lower and attitudes were less homogenous. Conclusions. German pharmacy students at JMU Würzburg consider organic chemistry of high relevance for medicinal chemistry and other courses in JMU's pharmacy program.

  11. Joint US/German Conference

    CERN Document Server

    Gulledge, Thomas; Jones, Albert

    1992-01-01

    Basically five problems areas are addressed by operations research specialists in the manufacturing domain: theore- tical and practical aspectsin production planning, facility layout, inventory control, tool management and scheduling. Some of these problems can be solved off-line, while others must be treated as real-time problems impacted by the changing state of the system. Additionally, all of these problems have to be dealt with in an integrated systems framework. Several new topics have recently appeared in the scientific literature which now attract the interest of operations researchers. These include distributed real-time scheduling, hierarchical and heterarchical control systems, integrated algorithms for design, process planning, and equipment level programming, material handling in a finite capacity resource environment, and designing and implementing distributed data management systems. The contributions of these proceedings represent new andunique theoretical developments and applications related...

  12. Effects of a 12-week, short-interval, intermittent, low-intensity, slow-jogging program on skeletal muscle, fat infiltration, and fitness in older adults: randomized controlled trial.

    Science.gov (United States)

    Ikenaga, Masahiro; Yamada, Yosuke; Kose, Yujiro; Morimura, Kazuhiro; Higaki, Yasuki; Kiyonaga, Akira; Tanaka, Hiroaki

    2017-01-01

    We developed a short-interval, low-intensity, slow-jogging (SJ) program consisting of sets of 1 min of SJ at walking speed and 1 min of walking. We aimed to examine the effects of an easily performed SJ program on skeletal muscle, fat infiltration, and fitness in older adults. A total of 81 community-dwelling, independent, older adults (70.8 ± 4.0 years) were randomly assigned to the SJ or control group. The SJ group participants were encouraged to perform 90 min of SJ at their anaerobic threshold (AT) intensity and 90 min of walking intermittently per week. Aerobic capacity at the AT and sit-to-stand (STS) scores were measured. Intracellular water (ICW) in the legs was assessed by segmental multi-frequency bioelectrical impedance analysis. Subcutaneous (SAT) and intermuscular (IMAT) adipose tissue and muscle cross-sectional area (CSA) were measured at the mid-thigh using computed tomography. A total of 75 participants (37 SJ group, 38 controls) completed the 12-week intervention. The AT and STS improved in the SJ group compared with the controls (AT 15.7 vs. 4.9 %, p SJ group (9.7 %, p SJ group (p SJ program was easily performed by older adults with low skeletal muscle mass, improved aerobic capacity, muscle function, and muscle composition in older adults.

  13. [The new German guideline on postpartum haemorrhage (PPH): essential aspects for coagulation and circulatory therapy].

    Science.gov (United States)

    Lier, Heiko; Schlembach, Dietmar; Korte, Wolfgang; von Heymann, Christian; Steppat, Susanne; Kühnert, Maritta; Maul, Holger; Henrich, Wolfgang; Rath, Werner; Wacker, Jürgen; Kainer, Franz; Surbek, Daniel; Helmer, Hanns

    2016-09-01

    Worldwide, post-partum haemorrhage (PHH) remains one of the leading causes for maternal mortality. The German Society of Gynaecology and Obstetrics, the German Midwifes' Society, the German Society of Thrombosis and Haemostasis and the German Society of Anaesthesiology and Intensive Care updated the former guideline. The resulting recommendations are the results of a structured literature search and a formal consensus process and contain all aspects of PPH including diagnosis, causes, risk factors and therapy. Key aspect of the anaesthesiological and haemostatic therapies is the development of an interdisciplinary standard operating procedure containing medical options related to the bleeding's cause and severity as well as the surgical option. For suspected PPH, this guideline emphasizes clinical and laboratory-based diagnostics, as only those will enable an early identification of the bleeding's causes and the resulting causative therapy. Recommendations cover evidence-based application of uterotonics for atony as well as tranexamic acid, calcium, factor concentrates and blood products. Additionally, recommendations are given on the topics of cell salvage, controlled hypotension and restrictive transfusion triggers. © Georg Thieme Verlag Stuttgart · New York.

  14. First results of the German Barcode of Life (GBOL) - Myriapoda project: Cryptic lineages in German Stenotaenialinearis (Koch, 1835) (Chilopoda, Geophilomorpha).

    Science.gov (United States)

    Wesener, Thomas; Voigtländer, Karin; Decker, Peter; Oeyen, Jan Philip; Spelda, Jörg; Lindner, Norman

    2015-01-01

    As part of the German Barcode of Life (GBOL) Myriapoda program, which aims to sequence the COI barcoding fragment for 2000 specimens of Germany's 200 myriapod species in the near future, 44 sequences of the centipede order Geophilomorpha are analyzed. The analyses are limited to the genera Geophilus Leach, 1814 and Stenotaenia Koch, 1847 and include a total of six species. A special focus is Stenotaenia, of which 19 specimens from southern, western and eastern Germany could be successfully sequenced. The Stenotaenia data shows the presence of three to four vastly different (13.7-16.7% p-distance) lineages of the genus in Germany. At least two of the three lineages show a wide distribution across Germany, only the lineage including topotypes of Stenotaenialinearis shows a more restricted distribution in southern Germany. In a maximum likelihood phylogenetic analysis the Italian species Stenotaenia 'sorrentina' (Attems, 1903) groups with the different German Stenotaenialinearis clades. The strongly different Stenotaenialinearis lineages within Germany, independent of geography, are a strong hint for the presence of additional, cryptic Stenotaenia species in Germany.

  15. The documentation of readiness of the Landesamt of environmental protection of Saxony-Anhalt in case of intensive measuring program of IMIS. Pretension and reality; Die Einsatzdokumentation des Landesamtes fuer Umweltschutz Sachsen-Anhalt zum IMIS-Intensivmessprogramm. Anspruch und Wirklichkeit

    Energy Technology Data Exchange (ETDEWEB)

    Haensel, F. [Landesamt fuer Umweltschutz Sachsen-Anhalt, Halle/Saale (Germany)

    2014-01-20

    The documentation of readiness of the Landesamt of environmental protection of Saxony-Anhalt for the IMIS intensive measuring program was worked out since 2001 not only for preparing national and international exercises but also in the case of an accidental contamination of the environment. This documentation contains practical and organizational references for alarm, sampling, sample preparation and analytical tests in case of intensive measuring program of IMIS. The IMIS exercise in the autumn 2012 has shown the fitness of this documentation in the practice. The laboratories for environmental radioactivity of Saxony-Anhalt should be able to meet all requirements of an intensive measuring program of IMIS.

  16. Saksa kirjandus Noor-Eesti ajal. Young Estonia and German Literature

    Directory of Open Access Journals (Sweden)

    Liina Lukas

    2012-04-01

    to be disseminated through serialization in Estonian newspapers, thus continuing to mold the taste of the Estonian petite bourgeoisie, Young Estonia’s authors, critics, and publications introduced the Estonian public to new directions and names in German letters. At first the choice of translations did not coincide with Young Estonia’s program of ”art for art’s sake”. Young Estonia’s ideal, symbolist literature was connected in Germany primarily with names such as Rilke, Hofmannsthal, and George. During the Young Estonia era, these writers do not figure significantly in the Estonian literary field, though George emerges as a great model for newer Baltic-German poetry. Translations of these poets do not appear until the 1920s. However, the preparatory work done by Young Estonia should not be underestimated. Due to the circulation of literary influences throughout Europe, it is difficult to ascertain specific influences of German modernism on the authors connected to Young Estonia. The reliance on German sources in the literary criticism of the first decades of the 20th century, Young Estonia included, is striking. A. H. Tammsaare’s reading notes locate the sources of his philosophical foundation and sensibility primarily in German modernism. More generally speaking, Nietzsche’s shaping role is crucial, as was true more generally, both in European and Russian literature; Otto Weininger also had considerable influence on Estonian literature. The elective affinity of Jaan Oks with German expressionism is striking as well –an affinity so early and so spontaneous that this is probably not a case of direct influence. The German expressionist avant-garde, which began to define itself through declarations, theses, programs and groupings around 1910, become an important source of impulses in the Estonian literary field in the 1920s, especially through the mediation of Marie Under.

  17. The Discrimination, Perception, and Production of German /r/ Allophones by German Speakers and Two Groups of American English Speakers

    Science.gov (United States)

    Tepeli, Dilara

    2011-01-01

    The German /r/ sound is one of the most difficult sounds for American English (AE) speakers who are learning German as a foreign language to produce. The standard German /r/ variant [/R/] and dialectal variant [R] are achieved by varying the tongue constriction degree, while keeping the place of articulation constant [Schiller and Mooshammer…

  18. 'You find yourself.' Perceptions of nursing students from non-English speaking backgrounds of the effect of an intensive language support program on their oral clinical communication skills.

    Science.gov (United States)

    Rogan, Fran; San Miguel, Caroline; Brown, Di; Kilstoff, Kathleen

    2006-10-01

    Nurses of ethnically diverse backgrounds are essential in providing multicultural populations in western societies with culturally and linguistically competent health care. However, many nurses from non-English speaking backgrounds (NESB) are at high risk of failure in university programs particularly during clinical placements. Few studies investigate the clinical experiences of students from NESB and strategies to support their learning. This study describes perceptions of fifteen undergraduate nursing students from NESB about their first clinical placement in an Australian university program and the effect of a language support program on their oral clinical communication skills. Three categories arose: *Wanting to belong but feeling excluded; *Wanting to learn how to...; and *You find yourself. While many students find clinical placement challenging, it appeared difficult for students in this study as language and cultural adjustments required some modification of their usual ways of thinking and communicating, often without coping strategies available to other students.

  19. [Development and importance of outpatient cardiac rehabilitation in German-speaking countries].

    Science.gov (United States)

    Benzer, W

    2014-07-01

    Cardiac rehabilitation is a coordinated treatment approach. The interdisciplinary team aims to provide the best possible physical and psychological outcomes for patients with cardiac diseases. Patients should be enable to independently resume work and and social life. Furthermore cardiac rehabilitation wants to limit or reverse the progress of cardiac disease through sustained health-related life habits. Cardiac rehabilitation significantly contributes to long-term success based on comprehensive care of cardiac patients. Outpatient cardiac rehabilitation has shown to be effective after myocardial infarction, coronary artery bypass grafting and chronic heart failure. However randomized controlled trials were performed only in Anglo-American countries. In these trials effects were observed mainly for exercise-based cardiac rehabilitation programs. Because the results have been derived from different program settings they cannot simply be translated to German-speaking countries. However, several cohort studies predominantly performed in Germany also revealed effects of inpatient and outpatient cardiac rehabilitation programs for German-speaking countries. The most recent results demonstrated a significant reduction of recurrent events in patients after inpatient cardiac rehabilitation. Following the current evidence concerning the effect of inpatient and outpatient cardiac rehabilitation programs particularly after myocardial infarction international guidelines provide Class I (USA) and IIa (Europe) recommendation for this treatment intervention.In contrast to Anglo-American countries cardiac rehabilitation in Austria, Germany and Switzerland was established at its beginning exclusively for inpatient programs. In addition more and more outpatient programs were introduced in the last decades. Nevertheless inpatient cardiac rehabilitation is still the most common program in German-speaking countries.Future challenges of cardiac rehabilitation should not address the

  20. The German hydrogen and fuel cell community. Successes and failures

    Energy Technology Data Exchange (ETDEWEB)

    Canzler, Weert; Marz, Lutz [Wissenschaftszentrum Berlin fuer Sozialforschung gGmbH (WZB), Berlin (Germany); Galich, Ante [Luxembourg Univ. (Luxembourg). Faculty of Languages and Literature, Humanities, Arts and Education

    2013-11-01

    Recently, the German Federal Government made the consequential decision to change its energy program. This not only as a result of the decision to shut down the existing nuclear power plants within the next few years, but also due to vital challenges like climate change and security of energy supply. The shift in the energy-technology paradigm from fossil fuel technologies to regenerative energies constitutes a major technical process but also new economic and social constellations. This paper focuses on hydrogen and fuel cell technologies in Germany. The institutional set up in this field is analysed and the new organizational actors are identified who have actively lobbied towards a political consensus. However, the experts in this field could not attain the required leadership in the public discourse on these technologies. It seems that an attractive guiding vision of a post-fossil energy future and a broad acceptance in daily use would have been major prerequisites for such leadership. (orig.)

  1. Effect of moderate or intensive disease management program on outcome in patients with heart failure : Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH)

    NARCIS (Netherlands)

    Jaarsma, T.; van der Wal, Martje H.L.; Lesman-Leegte, Ivonne; Luttik, Marie-Louise; Hogenhuis, Jochem; Veeger, Nic J.; Sanderman, Robbert; Hoes, A.W.; van Gilst, Wiek H.; Lok, D.J.; Dunselman, P.H.; Tijssen, J.G.; Hillege, Hans L.; van Veldhuisen, Dirk J.

    2008-01-01

    Background:: Heart failure (HF) disease management programs are widely implemented, but data about their effect on outcome have been inconsistent. Methods: The Coordinating Stud), Evaluating Out-comes of Advising and Counseling in Heart Failure (COACH) was a multicenter, randomized, controlled trial

  2. Summary of intensive monitoring for radionuclides in fishery products after Fukushima accident and comparison to the results of long term monitoring program in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Fujimoto, Ken; Morita, Takami; Shigenobu, Yuya; Takagi, Kaori; Miki, Shizuho; Kaeriyama, Hideki; Ambe, Daisuke; Ono, Tsuneo [National Research Institute of Fisheries Science, Fisheries Research Agency, 2-12-4, Fukuura, Kanazawa, Yokohama, Kanagawa 236-8648 (Japan)

    2014-07-01

    Monitoring of artificial radionuclides in fishery products started in late 1950's and has over half a century history in Japan. Fisheries Agency (FA), Fisheries Research Agency (FRA) and prefectural organizations have been conducting the monitoring. The intensive monitoring of radioactive material in fishery products started in the late of March 2011 immediately after the Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident for the coastal area faced to the Pacific Ocean in the eastern area of Japan and for the offshore area. The purpose of this monitoring is to avoid the distribution of fishery products containing radioactive cesium in concentration over the Japanese standard limit (Cs-134+Cs-137: 100 Bq/kg). Japanese monitoring data are opened to public on the FA's and FRA's web page. In this study, we resume the results of intensive monitoring started in 2011 and show the temporal change of concentration of radioactive cesium in fishery product. In Fukushima Prefecture, the ratio of samples exceeding the Japanese standard limit shows a steadily decreasing trend from 53% at Mar.- Jun. 2011 to below 3% at Jul. - Sep. 2013. In other prefectures, the ratio was 6.5% at Mar.- Jun. 2011 and fell gradually, and it has been below to 1% at Jul. - Sep. 2013. In presentation, we show the results of monitoring conducted in the coastal area and deeper water around Japan from long gamma ray measurements with ashed samples by high purified germanium gamma spectrometry. (authors)

  3. [Physiotherapy in intensive care medicine].

    Science.gov (United States)

    Nessizius, S

    2014-10-01

    "Mobilisation Concept for the Multidisciplinary Treatment of the Intensive Care Patient" following the principles of the physiotherapeutic concept mentioned above and published it online on the homepage of the German network for early mobilisation (http://www.fruehmobilisierung.de/Fruehmobilisierung/Algorithmen.html) in spring 2012. The biggest challenge was to find one common language for all professional groups to define the aims of mobilisation. The success of the implementation becomes apparent in a well structured and coordinated procedure of early mobilisation, as all partners of the rehabilitation team apply adequate treatments. As a result the patients receive the appropriate treatment at the appropriate time which greatly supports their convalescence.

  4. Childbirth in East and West German Stepfamilies

    Directory of Open Access Journals (Sweden)

    2002-08-01

    Full Text Available The present paper studies fertility rates in partnerships with and without children from previous partners in East and West Germany. Data from the German "Fertility and Family Survey" is used to estimate piecewise-linear hazard rate models for having another child. It turns out that a proportional-hazard model would give incorrect results because childbirth follows different time patterns for couples who have already a shared child and couples who do not. Therefore, a model with specific clocks for various experiences of parenthood is specified. Based on these model estimations the probability for having another child within a certain time is calculated. In West Germany the estimated likelihood of having another child within six years varies little by child composition. In contrast, East-German couples with no shared child have a higher likelihood than couples with a shared child to have a child within six years.

  5. Transnational Aspects of German-Turkish Literature

    Directory of Open Access Journals (Sweden)

    Ovio Olaru

    2017-07-01

    Full Text Available This paper aims to shed light on the different aspects of transnationalism and transnational literature in regard to the German cultural space and the so-called (ImMigrantenliteratur (immigrant literature and migrant literature, respectively. By this approach, the historical context of post-war Germany will prove itself to be of great relevance, especially in studying the sociological consequences brought about by the import of Turkish work force in Germany, the concept of difference and its modes of realisation, and the prevalence of cultural specific characteristics in works belonging to Turkish-born German authors (f.e. Feridun Zaimoğlu. Last, but not least, our study will include a series of considerations regarding translation and the problems and debates resulting from the effort of transferring the symbolic signs of one culture into another.

  6. West German Jewry: Guilt, Power and Pluralism

    Directory of Open Access Journals (Sweden)

    Anthony d. Kauders

    2010-04-01

    Full Text Available The essay will address the history of West German Jewry using the concept of guilt as its guiding theme. Jews in West Germany had a bad conscience on account of living in the “land of the murderers.” This bad conscience not only distinguished them from other Jewish communities, it also explains much of what characterized West German Jewry from 1945 to 1989: its particular economic structure; its especially close ties to Israel; its preoccupation with democratization; its power arrangements; and its communal life. The essay will address these issues, and trace a development that led from a close-knit, ideologically homogeneous group to one that became ever more pluralistic in the 1970s and 1980s.

  7. Persistent Ambivalence: Theorizing Queer East German Studies.

    Science.gov (United States)

    Frackman, Kyle

    2018-01-16

    The German Democratic Republic (GDR, East Germany) had an ambivalent relationship with homosexuality. Under the principles of socialism, everyone was welcome to contribute to the greater good. The situation for queer people, here lesbians and gay men, was different: one of illegality and invisibility. A difficulty in analyzing these experiences is the theory and methodology necessary to find them and draw them together in an historical narrative. This essay offers a mode of analysis in which theories of affect illustrate long-term trends in East German conceptualizations of same-sex sexuality. By discussing a 1950 court ruling and a 1989 film, the essay demonstrates the persistence of homophobic prejudice and fear of homosexual seduction of young people and the links to historical and legal developments.

  8. Making sense of the German Wikipedia community

    Directory of Open Access Journals (Sweden)

    Rikke Frank Jørgensen

    2012-08-01

    Full Text Available This article presents the findings from a qualitative study of the German Wikipedia community, focusing on how people engaged with Wikipedia make sense of norms, collaborative practices and means of regulation within the community. The study highlights the strong focus on the quality of the end-product (the encyclopedia in the German community, stressing that article quality is seen as more important than the wiki-process as such. As the community has grown, an increasing number of rules and mechanisms have been deployed to resolve various issues and conflicts, however the interviewees do not perceive Wikipedia as being bureaucratic, but rather describe it as a “rule-governed anarchy”. The findings suggest that people contribute for a variety of reasons, yet point to reactions from and interactions with fellow Wikipedians as one of the strongest motivational drivers for participation.

  9. On the intonation of German intonation questions

    DEFF Research Database (Denmark)

    Petrone, Caterina; Niebuhr, Oliver

    2014-01-01

    German questions and statements are distinguished not only by lexical and syntactic but also by intonational means. This study revisits, for Northern Standard German, how questions are signalled intonationally in utterances that have neither lexical nor syntactic cues. Starting from natural...... productions of such 'intonation questions', two perception experiments were run. Experiment 1 is based on a gating paradigm, which was applied to naturally produced questions and statements. Experiment 11 includes two indirect-identification tasks. Resynthesized stimuli were judged in relation to two context...... to the intonational nucleus. Rather, listeners can refer to shape, slope, and alignment differences of the preceding prenuclear pitch accent to identify sentence mode. These findings are in line with studies suggesting that the utterance-final rise versus fall contrast is not directly related to sentence modality...

  10. Using focus groups in the consumer research phase of a social marketing program to promote moderate-intensity physical activity and walking trail use in Sumter County, South Carolina.

    Science.gov (United States)

    Burroughs, Ericka; Peck, Lara E; Sharpe, Patricia A; Granner, Michelle L; Bryant, Carol A; Fields, Regina

    2006-01-01

    The use of social marketing approaches in public health practice is increasing. Using marketing concepts such as the "four Ps" (product, price, place, and promotion), social marketing borrows from the principles of commercial marketing but promotes beneficial health behaviors. Consumer research is used to segment the population and develop a strategy based on those marketing concepts. In a community-based participatory research study, 17 focus groups were used in consumer research to develop a social marketing program to promote walking and other moderate-intensity physical activities. Two phases of focus groups were conducted. Phase 1 groups, which included both men and women, were asked to respond to questions that would guide the development of a social marketing program based on social marketing concepts. Phase 1 also determined the intervention's target audience, which was irregularly active women aged 35 to 54. Phase 2 groups, composed of members of the target audience, were asked to further define the product and discuss specific promotion strategies. Phase 1 participants determined that the program product, or target behavior, should be walking. In addition, they identified price, place, and promotion strategies. Phase 2 participants determined that moderate-intensity physical activity is best promoted using the term exercise and offered suggestions for marketing walking, or exercise, to the target audience. There have been few published studies of social marketing campaigns to promote physical activity. In this study, focus groups were key to understanding the target audience in a way that would not have been accomplished with quantitative data alone. The group discussions generated important insights into values and motivations that affect consumers' decisions to adopt a product or behavior. The focus group results guided the development of a social marketing program to promote physical activity in the target audience in Sumter County, South Carolina.

  11. Can German wine cooperatives compete on quality?

    Directory of Open Access Journals (Sweden)

    Schamel Guenter H.

    2015-01-01

    Full Text Available The paper analyzes how German cooperative wineries compete with private (i.e. non-cooperative wineries regarding reputation, quality categorization and varietal selection. Among the reasons why German cooperatives lag behind in terms of reputation for quality wine are organization principles of cooperatives and the difficulty to manage growers supplying grapes of different qualities. Cooperatives turn their supply of grapes into wine often classified as quality wine without much distinction. Conversely, privately owned wineries growing their own grapes may have more control over quality along their production chain and are able to produce more distinctive wines. In turn, they gain more reputation with final consumers with respect to quality. We analyze data for private and cooperative wineries from Germany. Our objective is to identify key differences in terms of reputation for quality wine production. Specifically, we look at interaction effects based on organizational form (cooperative vs. private and the German wine quality categorization (i.e. basic quality wine vs. Kabinett, Spätlese, or Auslese as well as varietal effects. We employ a hedonic pricing model to test the hypothesis that wines produced by private producers receive a reputation premium relative to cooperatives. Moreover, we hypothesize that private wineries receive a price premium relative to coopera- tives for other than basic quality wines and distinct varieties such as Riesling and Pinot Noir. The empirical analysis confirms both hypotheses. The estimated coefficients indicate that cooperatives are unable to gain quality premium for most quality cat- egories and gain price premiums only for non-distinct varieties such as Lemberger and Dornfelder. We can argue that German cooperatives are stuck in the low quality corner of the quality and variety spectrum and are currently not able to compete with private wineries in terms of quality. This result supports the observation

  12. [German nurses during the First World War].

    Science.gov (United States)

    Wagner, Franz

    2014-06-01

    Nurses from several German organisations participated in the First World War. For the most part, they did not work on the frontline but at the rear, in hospital trains, hospitals or refugee camps. They cared forwounded soldiers and faced epidemics of infectious diseases. The journal of the national association of nurses, which continued to be published during the war, provides a snapshot of their concerns and their questioning regarding the profession and its evolution.

  13. Speech Act Classification of German Advertising Texts

    OpenAIRE

    Артур Нарманович Мамедов

    2015-01-01

    This paper uses the theory of speech acts and the underlying concept of pragmalinguistics to determine the types of speech acts and their classification in the German advertising printed texts. We ascertain that the advertising of cars and accessories, household appliances and computer equipment, watches, fancy goods, food, pharmaceuticals, and financial, insurance, legal services and also airline advertising is dominated by a pragmatic principle, which is based on demonstrating information a...

  14. Assimilation and cohort effects for German immigrants

    OpenAIRE

    Gundel, Sebastian; Peters, Heiko

    2008-01-01

    Demographic change and the rising demand for highly qualified labor in Germany attracts notice to the analysis of immigration. In addition, the pattern of immigration changed markedly during the past decades. Therefore we use the latest data of the German Socioeconomic Panel up to the year 2006 in order to investigate the economic performance of immigrants. We perform regressions of three pooled cross sections (1986, 1996, 2006) to estimate assimilation and quality of immigrants as reflected ...

  15. Right Face: Understanding German Political Developments

    Science.gov (United States)

    1994-06-16

    technology for printing an" aistr-buting informaticn and propaganda, including motion pictures , they Created a mass political awareness which broke past...1951 Lower Saxony Land.ag vote, the Party was banned by the Federal Constitutional Court in 1952,:for its direct link with the The German Rights...Westphalia NO National primarily in forbidden Offensive Bavaria & Saxony , December 1992 most members from FAP NB National Bloc neo-Nazi splinter forbidden

  16. Open security issues in German healthcare telematics

    OpenAIRE

    Sunyaev, Ali;Leimeister, Jan Marco;Schweiger, Andreas;Krcmar, Helmut

    2014-01-01

    Developments in German healthcare telematics aim at connecting existing information systems of various service providers and health insurers via a common network. Such a linking of different systems and infrastructure elements creates a complex situation that has to deal with high priority requirements for data security, data safety, and data integrity as it concerns sensitive data such as personal medical information or administrative operational data. This paper provides a security analysis...

  17. Interaction of oxygen vacancies in yttrium germanates

    KAUST Repository

    Wang, Hao

    2012-01-01

    Forming a good Ge/dielectric interface is important to improve the electron mobility of a Ge metal oxide semiconductor field-effect transistor. A thin yttrium germanate capping layer can improve the properties of the Ge/GeO 2 system. We employ electronic structure calculations to investigate the effect of oxygen vacancies in yttrium-doped GeO 2 and the yttrium germanates Y 2Ge 2O 7 and Y 2GeO 5. The calculated densities of states indicate that dangling bonds from oxygen vacancies introduce in-gap states, but the system remains insulating. However, yttrium-doped GeO 2 becomes metallic under oxygen deficiency. Y-doped GeO 2, Y 2Ge 2O 7 and Y 2GeO 5 are calculated to be oxygen substoichiometric under low Fermi energy conditions. The use of yttrium germanates is proposed as a way to effectively passivate the Ge/dielectric interface. This journal is © 2012 the Owner Societies.

  18. Genomic selection strategies in breeding programs: Strong positive interaction between application of genotypic information and intensive use of young bulls on genetic gain

    DEFF Research Database (Denmark)

    Buch, Line Hjortø; Sørensen, Morten Kargo; Berg, Peer

    2012-01-01

    We tested the following hypotheses: (i) breeding schemes with genomic selection are superior to breeding schemes without genomic selection regarding annual genetic gain of the aggregate genotype (ΔGAG), annual genetic gain of the functional traits and rate of inbreeding per generation (ΔF), (ii......) a positive interaction exists between the use of genotypic information and a short generation interval on ΔGAG and (iii) the inclusion of an indicator trait in the selection index will only result in a negligible increase in ΔGAG if genotypic information about the breeding goal trait is known. We examined...... four breeding schemes with or without genomic selection and with or without intensive use of young bulls using pseudo-genomic stochastic simulations. The breeding goal consisted of a milk production trait and a functional trait. The two breeding schemes with genomic selection resulted in higher ΔGAG...

  19. The effect of a combined high-intensity plyometric and speed training program on the running and jumping ability of male handball players.

    Science.gov (United States)

    Cherif, Monsef; Said, Mohamed; Chaatani, Sana; Nejlaoui, Olfa; Gomri, Daghbaji; Abdallah, Aouidet

    2012-03-01

    The aim of this study was to investigate the effect of a combined program including sprint repetitions and drop jump training in the same session on male handball players. Twenty-two male handball players aged more than 20 years were assigned into 2 groups: experimental group (n=11) and control group (n=11). Selection was based on variables "axis" and "lines", goalkeepers were not included. The experimental group was subjected to 2 testing periods (test and retest) separated by 12 weeks of an additional combined plyometric and running speed training program. The control group performed the usual handball training. The testing period comprised, at the first day, a medical checking, anthropometric measurements and an incremental exercise test called yo-yo intermittent recovery test. 2 days later, participants performed the Repeated Sprint Ability test (RSA), and performed the Jumping Performance using 3 different events: Squat jump (SJ), Countermovement jump without (CMJ) and with arms (CMJA), and Drop jump (DJ). At the end of the training period, participants performed again the repeated sprint ability test, and the jumping performance. The conventional combined program improved the explosive force ability of handball players in CMJ (P=0.01), CMJA (P=0.01) and DJR (P=0.03). The change was 2.78, 2.42 and 2.62% respectively. No significant changes were noted in performances of the experimental group at the squat jump test and the drop jump with the left leg test. The training intervention also improved the running speed ability of the experimental group (P=0.003). No statistical differences were observed between lines or axes. Additional combined training program between sprint repetition and vertical jump in the same training session positively influence the jumping ability and the sprint ability of handball players.

  20. Palliative care versus euthanasia. The German position: the German General Medical Council's principles for medical care of the terminally ill.

    Science.gov (United States)

    Sahm, S W

    2000-04-01

    In September 1998 the Bundesärztekammer, i.e., the German Medical Association, published new principles concerning terminal medical care. Even before publication, a draft of these principles was very controversial, and prompted intense public debate in the mass media. Despite some of the critics' suspicions that the principles prepared the way for liberalization of active euthanasia, euthanasia is unequivocally rejected in the principles. Physician-assisted suicide is considered to violate professional medical rules. In leaving aside some of the notions customarily used in the euthanasia debate, e.g., passive euthanasia, the principles emphasize the obligation of physicians to offer and the right of patients to receive palliative care. The principles explicitly list modalities of basic treatment that are indispensable in all cases, such as the obligation to satisfy hunger and thirst. This statement is meant to resolve the dispute on nutrition and hydration at the end of life, as it shifts the focus of care from maintaining physiological parameters to satisfying subjective needs. For patients in a persistent vegetative state, artificial feeding is held to be obligatory. Yet, the principles make reference to recent German jurisdiction which permit the stopping of artificial feeding if it is in accordance with the patient's presumed will. Additionally, the wording concerning this issue is found to remain unclear. Patients' autonomy is strengthened by explicitly welcoming advance directives as a means to ascertain patients' wills. The principles mark some changes compared to earlier documents. They deserve careful analysis and should be considered in the international debate on issues concerning the end of life.

  1. Enhanced musical rhythmic perception in Turkish early and late learners of German

    Directory of Open Access Journals (Sweden)

    Maria Paula eRoncaglia-Denissen

    2013-09-01

    Full Text Available As language rhythm relies partly on general acoustic properties, such as intensity and duration, mastering two languages with distinct rhythmic properties (i.e., stress position may enhance musical rhythm perception. We investigated whether second language (L2 competence affects musical rhythm aptitude in Turkish early (TELG and late learners (TLLG of German in comparison to German monolingual speakers (GMC. To account for inter-individual differences, we measured participants’ short-term and working memory capacity, melodic aptitude, and time they spent listening to music. Both L2 speaker groups perceived rhythmic variations significantly better than monolinguals. No differences were found between early and late learners’ performances. Our findings suggest that mastering two languages with different rhythmic properties enhances musical rhythm perception, providing further evidence of cognitive share between language and music.

  2. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... relative intensity and absolute intensity. Relative Intensity The level of effort required by a person to do an activity. When using relative intensity, people pay attention to how physical activity affects their heart rate ...

  3. Learning from the Germans? History and Memory in German and European Discourses of Integration

    Directory of Open Access Journals (Sweden)

    Andrew Beattie

    2007-08-01

    Full Text Available History and memory appear to be increasingly important to discussions of European values and identity, as exemplified by references to ‘bitter experiences’ and ‘divided pasts’ in the draft EU constitution. The article takes recent suggestions that Europe could learn from German experiences of confronting multiple difficult pasts as its starting point, and considers critically what lessons those German experiences might in fact hold for ‘Europe’. It explores similarities and differences in the two integration contexts and their dominant approaches to, and assumptions about history and public memory. Specifically, it considers debates about the east-west division of the Cold War and about the place of communism and nazism in public memory. Contrary to common assumptions, the article argues that German experiences are not necessarily worth of European emulation.

  4. Towards an integrated view of benthic and pelagic processes in the southern North Sea (German Bight)

    Science.gov (United States)

    Friedrich, Jana; van Beusekom, Justus; Neumann, Andreas; Naderipour, Celine

    2015-04-01

    The North Sea can be classified as a semi-enclosed shelf on the western-European continent. Atlantic influences are mainly through the Fair Isle current Channel in the North, and through the Strait of Dover in the South. An anti-clockwise circulation prevails, driven by mainly semi-diurnal tides and winds. The German Bight is located in the south-eastern part of the North Sea, and is strongly influenced by continental rivers. The outflow from the rivers Scheldt, Maas and Rhine is carried towards the German Bight with the residual currents. The German rivers Ems, Weser and Elbe directly debouche into the German Bight. On the shallow shelf, the water column is completely mixed by tidal forces and wind, largely preventing downward flux of particles and instead fostering temporary deposition and resuspension, which influences benthic mineralization. Hence, complex interactions between pelagic and benthic processes occur. Previous budget calculations indicate that the nutrient inventory has to be processed several times to support observed primary production, and, depending on water depth; only 10-20% remineralisation occurs in sediments of the German Bight whereas about 50% of organic matter is remineralised in the sediments of the shallow Wadden Sea. In this presentation, we use in-situ and ex-situ field data on pelagic and benthic oxygen respiration and benthic nutrient fluxes to assess the intense mineralization activity in the German Bight, the partitioning of benthic and pelagic processes and the factors influencing organic matter mineralization. Measurements of pelagic oxygen respiration based on Winkler titration, in-situ benthic oxygen uptake measurements based on flux-chamber landers and ex-situ incubations of intact sediment cores revealed that benthic remineralisation rates are about an order of magnitude smaller than pelagic rates, in agreement with previous budget estimates. Both benthic and pelagic oxygen respiration show a strong seasonality; with higher

  5. Bildung, Erziehung [education] and care in German early childhood settings – spotlights on current discourses

    Directory of Open Access Journals (Sweden)

    Frindte Annegret

    2017-08-01

    Full Text Available In German there is a long tradition of institutionalized daycare center-based early education. These institutions are concerned with Bildung, Erziehung und Betreuung - the education and care of children up to six years of age. Education and childrearing as well as care are all important but separate processes in German early childhood settings. Looking back, this theoretical division has a very long tradition. However, the energized public, political and professional discussions about the PISA results at the beginning of the 21st century led to Bildung and ECEC settings becoming increasingly important. Taking into account this complex and difficult historical development it is interesting to have a critical look at the dominant programmatic frames that characterize the German ECEC system nowadays: Bildung and quality of early education. The former double motif of education (Bildung und Erziehung on the one hand and care (Betreuung on the other hand remains an important aspect of German ECEC practices. Nevertheless, in the political arena and professional discourses Erziehung and Betreuung have been pushed into the background, to remain in symbolic form. Bildung and quality of early education seem to be in the spotlight. We will show how those programmatic frames have taken shape and are manifested in early childhood programs and projects.

  6. [Migrants from the former Soviet Union born in German families and their relatives as patients in forensic units].

    Science.gov (United States)

    Hoffmann, Klaus

    2007-10-01

    Young migrants from Russia born in German families are seen as a special risk group for drug and alcohol addiction as well as for criminality. In Russia, they were marginalized as Germans, now in Germany, they are marginalized as Russians--and they repeat in Germany the internal structures of distrust against the police and other government agencies. In prisons and in forensic units, this group of young German-Russians are strongly over represented compared with to share in the general population. In prisons, they are a problem group mainly speaking Russian language, forming mafia like clans and dealing drugs--all this prevents the rehabilitation. In sharp contrast, a forensic department succeeds in integrating these people by a consequent therapeutic community approach with highly frequent group psychotherapy, intensive work, sports, autonomy in cleaning the rooms and individual teaching possibilities in German language and other specialties with a teacher working on the ward. Despite published negative experiences, it is well possible to improve the legal and social prognosis of Russian-German migrants by applying a consequent milieu- and psychotherapeutic setting utilizing actively the resources of these patients.

  7. Impact of a moderate-intensity walking program on cardiometabolic risk markers in overweight to obese women: is there any influence of menopause?

    Science.gov (United States)

    Riesco, Eléonor; Tessier, Sébastien; Lacaille, Michel; Pérusse, Francine; Côté, Mélanie; Després, Jean-Pierre; Bergeron, Jean; Weisnagel, John Stanley; Doré, Jean; Mauriège, Pascale

    2013-02-01

    The aim of this study was to examine the effect of brisk walking on cardiometabolic risk profile and on the gene expression (ie, messenger RNA [mRNA] levels) of inflammatory and thrombotic markers in abdominal and femoral subcutaneous adipose tissues (SATs) among sedentary overweight to obese women with different menopause statuses. Sixteen late premenopausal (mean [SD] age, 49 [3] y; mean [SD] body mass index, 31.9 [3.0] kg/m) and 14 early postmenopausal (53 [2] y; 30.8 [1.9] kg/m) women were involved in a 16-week walking program (three sessions of 45 min/wk at 60% of heart rate reserve). Glucose-insulin homeostasis, lipid-lipoprotein profile, and inflammatory (tumor necrosis factor-α, interleukin-6 [IL-6], and adiponectin) and thrombotic (plasminogen activator inhibitor-1) SAT mRNA and plasma levels were measured before and after the intervention. Glucose area under the curve was reduced in all participants (P = 0.03) after the walking program. Increases in plasma tumor necrosis factor-α were observed in both groups (P = 0.001), whereas increases in plasminogen activator inhibitor-1 levels were found in postmenopausal women only (P = 0.014). However, plasma IL-6 and adiponectin levels remained unchanged after the intervention (0.07 obese women, irrespective of their menopause status.

  8. Long-term effects of a 12 weeks high-intensity functional exercise program on physical function and mental health in nursing home residents with dementia: a single blinded randomized controlled trial.

    Science.gov (United States)

    Telenius, Elisabeth Wiken; Engedal, Knut; Bergland, Astrid

    2015-12-03

    Research indicates that exercise can have a positive effect on both physical and mental health in nursing home patients with dementia, however the lasting effect is rarely studied. In a previously published article we investigated the immediate effect of a 12 weeks functional exercise program on physical function and mental health in nursing home residents with dementia. In this paper we studied the long-term effect of this exercise program. We explored the differences between the exercise and control group from baseline to 6 months follow-up and during the detraining period from month 3 to 6. A single blind, randomized controlled trial was conducted and a total of 170 nursing home residents with dementia were included. The participants were randomly allocated to an intervention (n = 87) or a control group (n = 83). The intervention consisted of intensive strengthening and balance exercises in small groups twice a week for 12 weeks. The control condition was leisure activities. Thirty participants were lost between baseline and six-month follow-up. Linear mixed model analyses for repeated measurements were used to investigate the effect of exercise after detraining period. The exercise group improved their scores on Berg Balance Scale from baseline to 6 months follow-up by 2.7 points in average. The control group deteriorated in the same period and the difference between groups was statistically significant (p = 0.031). The exercise group also scored better on NPI agitation sub-score after 6 months (p = 0.045). The results demonstrate long-time positive effects of a high intensity functional exercise program on balance and indicate a positive effect on agitation, after an intervention period of 12 weeks followed by a detraining period of 12 weeks. Identifier at ClinicalTrials.gov: NCT02262104.

  9. Modularer studienbegleitender Deutschunterricht zur Vorbereitung auf Studium und Praktikum in Deutschland am Beispiel der German-Jordanian University in Amman, Jordanien

    Directory of Open Access Journals (Sweden)

    Michael de Jong

    2015-04-01

    Full Text Available Die German-Jordanian University (GJU ist eine staatliche Hochschule in Amman, Jordanien, die durch das Bundesministerium für Bildung und Forschung (BMBF und den Deutschen Akademischen Austauschdienst (DAAD gefördert wird. Gegründet im Jahr 2005, ist es noch eine sehr junge Universität. Ihr Alleinstellungsmerkmal ist das verpflichtende vierte Studienjahr in Deutschland, in dem jeder Studierende ein Semester an einer deutschen Partnerhochschule und ein weiteres in einem Praktikum verbringt. In den ersten drei Jahren ihres Studiums müssen alle Studieren­den sechs Stufen Deutsch in einem maßgeschneiderten Programm des German Language Centers absolvieren. Der vorliegende Artikel skizziert die Strukturen des Zentrums, beschreibt den modulbasierten Deutschunterricht und diskutiert die Herausforderungen eines der größten German Language Center weltweit.   The German-Jordanian University (GJU is a public institution of higher education located in Amman, Jordan, funded by the German Federal Ministry of Education and Research (BMBF and the German Academic Exchange Service (DAAD. Founded in 2005, it is still a very young university. Its unique selling proposition is the compulsory 4th year in Germany, during which every student spends one semester at a partner university and a second semester doing an internship. In the first three years of their studies, all students have to pass six levels of German in a tailor-made program provided by the German Language Center. This article outlines the structure of the center, describes the module-based German language tuition and discusses the challenges faced by one of the biggest German Language Centers in the world.

  10. A mixed methods inquiry: How dairy farmers perceive the value(s of their involvement in an intensive dairy herd health management program

    Directory of Open Access Journals (Sweden)

    Kristensen Erling

    2008-12-01

    Full Text Available Abstract Background Research has been scarce when it comes to the motivational and behavioral sides of farmers' expectations related to dairy herd health management programs. The objectives of this study were to explore farmers' expectations related to participation in a health management program by: 1 identifying important ambitions, goals and subjective well-being among farmers, 2 submitting those data to a quantitative analysis thereby characterizing perspective(s of value added by health management programs among farmers; and 3 to characterize perceptions of farmers' goals among veterinarians. Methods The subject was initially explored by means of literature, interviews and discussions with farmers, herd health management consultants and researchers to provide an understanding (a concourse of the research entity. The concourse was then broken down into 46 statements. Sixteen Danish dairy farmers and 18 veterinarians associated with one large nationwide veterinary practice were asked to rank the 46 statements that defined the concourse. Next, a principal component analysis was applied to identify correlated statements and thus families of perspectives between respondents. Q-methodology was utilized to represent each of the statements by one row and each respondent by one column in the matrix. A subset of the farmers participated in a series of semi-structured interviews to face validate the concourse and to discuss subjects like animal welfare, veterinarians' competences as experienced by the farmers and time constraints in the farmers' everyday life. Results Farmers' views could be described by four families of perspectives: Teamwork, Animal welfare, Knowledge dissemination, and Production. Veterinarians believed that farmers' primary focus was on production and profit, however, farmers' valued teamwork and animal welfare more. Conclusion The veterinarians in this study appear to focus too much on financial performance and increased

  11. Acquisition of German pluralization rules in monolingual and multilingual children

    Directory of Open Access Journals (Sweden)

    Eugen Zaretsky

    2013-10-01

    Full Text Available Existing studies on plural acquisition in German have relied on small samples and thus hardly deliver generalizable and differentiated results. Here, overgeneralizations of certain plural allomorphs and other tendencies in the acquisition of German plural markers are described on the basis of test data from 7,394 3- to 5-yearold monolingual German and bi/multilingual immigrant children tested with a modified, validated version of the Marburger Sprachscreening (MSS language test and 476 children tested with the SETK 3-5 language test. Classified correct and wrong answers to MSS and SETK 3-5 plural items were compared. The acquisition patterns of immigrants corresponded to those of younger German children. Both monolingual German and immigrant children demonstrated generally the same universal frequency and phonetically/phonologically based error patterns, irrespective of their linguistic background, but with different tendencies such as overgeneralization of -s by German children only.

  12. Computer Assisted Reading in German as a Foreign Language, Developing and Testing an NLP-Based Application

    Science.gov (United States)

    Wood, Peter

    2011-01-01

    "QuickAssist," the program presented in this paper, uses natural language processing (NLP) technologies. It places a range of NLP tools at the disposal of learners, intended to enable them to independently read and comprehend a German text of their choice while they extend their vocabulary, learn about different uses of particular words,…

  13. Reducing hospital expenditures with the COPE (Creating Opportunities for Parent Empowerment) program for parents and premature infants: an analysis of direct healthcare neonatal intensive care unit costs and savings.

    Science.gov (United States)

    Melnyk, Bernadette Mazurek; Feinstein, Nancy Fischbeck

    2009-01-01

    More than 500,000 premature infants are born in the United States every year. Preterm birth results in a multitude of negative adverse outcomes for children, including extended stays in the neonatal intensive care unit (NICU), developmental delays, physical and mental health/behavioral problems, increased medical utilization, and poor academic performance. In addition, parents of preterms experience a higher incidence of depression and anxiety disorders along with altered parent-infant interactions and overprotective parenting, which negatively impact their children. The costs associated with preterm birth are exorbitant. In 2005, it is estimated that preterm birth cost the United States $26.2 billion. The purpose of this study was to perform a cost analysis of the Creating Opportunities for Parent Empowerment (COPE) program for parents of premature infants, a manualized educational-behavioral intervention program comprising audiotaped information and an activity workbook that is administered to parents in 4 phases, the first phase commencing 2 to 4 days after admission to the NICU. Findings indicated that the COPE program resulted in cost savings of at least $4864 per infant. In addition to improving parent and child outcomes, routine implementation of COPE in NICUs across the United States could save the healthcare system more than $2 billion per year.

  14. Optical Properties of Tm(3+) Ions in Alkali Germanate Glass

    Science.gov (United States)

    Walsh, Brian M.; Barnes, Norman P.; Reichle, Donald J.; Jiang, Shibin

    2006-01-01

    Tm-doped alkali germanate glass is investigated for use as a laser material. Spectroscopic investigations of bulk Tm-doped germanate glass are reported for the absorption, emission and luminescence decay. Tm:germanate shows promise as a fiber laser when pumped with 0.792 m diodes because of low phonon energies. Spectroscopic analysis indicates low nonradiative quenching and pulsed laser performance studies confirm this prediction by showing a quantum efficiency of 1.69.

  15. German Bank Lending During Financial Crises: A Bank Level Analysis

    OpenAIRE

    Heid, Frank; Nestmann, Thorsten; von Westernhagen, Natalja; Weder di Mauro, Beatrice

    2005-01-01

    This paper studies German bank lending during the Asian and Russian crises, using a bank level data set from the Deutsche Bundesbank. Our aim is to gain more insight into the pattern of German bank lending during financial crises in emerging markets. We find that German banks reacted to the Asian crisis mainly by reallocating their portfolios among emerging markets. By contrast, the banks' behaviour during the Russian crisis is characterised by a general withdrawal from emerging markets. We f...

  16. German Lexical Personality Factors: Relations with the HEXACO Model

    OpenAIRE

    Ashton, M.C.; Lee, K; Marcus, B.; de Vries, R.E.

    2007-01-01

    We correlated the scales of the HEXACO Personality Inventory (HEXACO-PI) with adjective scale markers of factors previously obtained in indigenous lexical studies of personality structure in the German language. Self-ratings obtained from a sample of 323 German participants showed a pattern of strong convergent and weak discriminant correlations, supporting the content-based interpretation of the German lexical factors in terms of the HEXACO dimensions. Notably, convergent correlations were s...

  17. Soviet Military Intentions in the German Democratic Republic

    Science.gov (United States)

    1977-06-01

    and the virtual rape of German industry and transportation . Entire factories and railroads were dismated and moved to the Soviet Union and the East...special status of East Germany. At the time both Soviet and East German spokesmen• emphasized the transito ~y nature of East German membership... transportation . or supply services sufficient to support wartime operations, and the Soviets provide all logistics, command and control and air defense

  18. Health Literacy in the German Population.

    Science.gov (United States)

    Schaeffer, Doris; Berens, Eva-Maria; Vogt, Dominique

    2017-01-27

    Persons with low health literacy have difficulty dealing with the health care system and understanding health-related information. Studies from multiple countries have shown that low health literacy negatively affects health, health-related and illness-related behavior, and the utilization of health care resources. The data available till now on health literacy in Germany have been sparse. The goal of this study is to acquire representative data on the health literacy of the German population. In a cross-sectional study, we collected data from a representative group of 2000 persons over age 15 in Germany by means of computer-assisted personal interviews (CAPI) that were based on the long version of the questionnaire used in the European Health Literacy Survey (HLS-EU-Q47). Sociodemographic data were also collected. The respondents were a representative sample of the German population. 54.3% of them were found to have limited health literacy. Multiple logistic regression revealed associations of limited health literacy with advanced age (odds ratio [OR] 1.83, 95% confidence interval [CI] [1.36; 2.48]), an immigrant background (OR 1.87 [1.27; 2.75]), low self-assessed social status (OR 5.25 [3.57; 7.72]), and low functional literacy (OR 1.94 [1.49; 2.52]). The low health literacy of many Germans can impair communication between doctors and patients and exacerbate existing problems in health policy. In the future, greater effort will have to be made to foster health literacy, make health-related information for patients easier to understand, and intensify research in the field of health literacy.

  19. Enteric methane emissions from German dairy cows

    DEFF Research Database (Denmark)

    Dammgen, U; Rosemann, C; Haenel, H D

    2012-01-01

    provided in the IPCC guidelines. The two existing guidelines propose two different constant rates (IPCC, 1996: 6.0 % or 60 kJ MJ(-1), and IPCC, 2006: 6.5 % or 65 kJ MJ(-1), of the gross energy intake, respectively). Both constants do not reflect that the rates should be dependent on feed properties......, as stated by IPCC. A methane emission model was selected here that is based on German feed data. It was combined with the hitherto applied model describing energy requirements. The emission rates thus calculated deviate from those previously obtained. In the new model, the methane conversion rate is back...

  20. Enteric methane emissions from German pigs

    DEFF Research Database (Denmark)

    Dämmgen, Ulrich; Schulz, Joachim; Klausing, Heinrich Kleine

    2012-01-01

    . Meanwhile numerous experimental data on methane emissions from enteric fermentation is available in Germany and abroad; the results are compiled in this work. These results also allow for a description of transformation processes in the hind gut and a subsequent establishment of models that relate emissions...... to feed and performance data. The model by Kirchgeßner et al. (1995) is based on German experimental data and reflects typical national diet compositions. It is used to quantify typical emissions and methane conversion ratios. The results agree with other experimental findings at home and abroad...

  1. Rhythmic variability in Swiss German dialects

    OpenAIRE

    Leemann, Adrian; Dellwo, Volker; Kolly, Marie-José; Schmid, Stephan

    2012-01-01

    Speech rhythm can be measured acoustically in terms of durational characteristics of consonantal and vocalic intervals. The present paper investigated how acoustically measurable rhythm varies across dialects of Swiss German. Rhythmic measurements (%V, ∆C, ∆V, varcoC, varcoV, rPVI-C, nPVI- C, nPVI-V) were carried out on four sentences of six speakers from eight Swiss dialects. Results indicate that there are significant differences across the dialects in some rhythm measures but not in others...

  2. German contributions to the CMS computing infrastructure

    Science.gov (United States)

    Scheurer, A.; German CMS Community

    2010-04-01

    The CMS computing model anticipates various hierarchically linked tier centres to counter the challenges provided by the enormous amounts of data which will be collected by the CMS detector at the Large Hadron Collider, LHC, at CERN. During the past years, various computing exercises were performed to test the readiness of the computing infrastructure, the Grid middleware and the experiment's software for the startup of the LHC which took place in September 2008. In Germany, several tier sites are set up to allow for an efficient and reliable way to simulate possible physics processes as well as to reprocess, analyse and interpret the numerous stored collision events of the experiment. It will be shown that the German computing sites played an important role during the experiment's preparation phase and during data-taking of CMS and, therefore, scientific groups in Germany will be ready to compete for discoveries in this new era of particle physics. This presentation focuses on the German Tier-1 centre GridKa, located at Forschungszentrum Karlsruhe, the German CMS Tier-2 federation DESY/RWTH with installations at the University of Aachen and the research centre DESY. In addition, various local computing resources in Aachen, Hamburg and Karlsruhe are briefly introduced as well. It will be shown that an excellent cooperation between the different German institutions and physicists led to well established computing sites which cover all parts of the CMS computing model. Therefore, the following topics are discussed and the achieved goals and the gained knowledge are depicted: data management and distribution among the different tier sites, Grid-based Monte Carlo production at the Tier-2 as well as Grid-based and locally submitted inhomogeneous user analyses at the Tier-3s. Another important task is to ensure a proper and reliable operation 24 hours a day, especially during the time of data-taking. For this purpose, the meta-monitoring tool "HappyFace", which was

  3. Visit at the German firm ACCEL

    CERN Multimedia

    CERN Audiovisual Unit

    2001-01-01

    The German firm ACCEL Instruments was entrusted both with the construction of the LHC quadrupole magnets themselves, and with their assembly into the cold masses together with various combinations of corrector magnets produced by other European manufacturers. ACCEL Instruments adapted two huge, almost abandoned industry halls to create a brand-new dedicated factory, with all the necessary tooling installed. From mid-2001, engineers and technicians from CERN and CEA-Saclay ensured the technology transfer and the technical follow-up of the fabrication.

  4. Seven-year experience with a surveillance program to reduce methicillin-resistant Staphylococcus aureus colonization in a neonatal intensive care unit.

    Science.gov (United States)

    Gregory, Mary Lucia; Eichenwald, Eric C; Puopolo, Karen M

    2009-05-01

    The objectives of this study were to determine the incidence rates of neonatal methicillin-resistant Staphylococcus aureus colonization and infection after the implementation of a NICU methicillin-resistant S aureus surveillance and isolation program and to describe the characteristics of infants with methicillin-resistant S aureus colonization and invasive disease. From August 2000 through August 2007, all infants admitted to the study NICU were screened for methicillin-resistant S aureus colonization with weekly nasal/rectal swabs; colonized or infected infants were isolated and cared for as a cohort. The annual incidence rates of methicillin-resistant S aureus colonization and infection were monitored, and characteristics of methicillin-resistant S aureus-colonized and -infected infants were compared. Data were collected from infant, maternal, and hospital laboratory records. During the study period, 7997 infants were admitted to the NICU and 102 methicillin-resistant S aureus-colonized or -infected infants (1.3%) were identified. The incidence of methicillin-resistant S aureus decreased progressively from 1.79 cases per 1000 patient-days in 2000 to 0.15 cases per 1000 patient-days in 2005, but the incidence then increased to 1.26 cases per 1000 patient-days in 2007. Fifteen of the 102 case infants (14.7%) had invasive infections; no significant differences between infected and colonized infants were identified. Methicillin-resistant S aureus isolates with 14 different antibiograms were found during the study period. There was a shift from isolates predominantly likely to be hospital-associated in 2000-2004 to those likely to be community-associated in 2006-2007. A continuous program of weekly methicillin-resistant S aureus surveillance cultures and isolation of affected infants was associated with a variable incidence of methicillin-resistant S aureus colonization over a 7-year study period. Methicillin-resistant S aureus was not eradicated from this tertiary

  5. Umweltverschmutzung. German Ecology Packet: Resource Units and Materials for German Classes at All Levels.

    Science.gov (United States)

    Archer, Julie; And Others

    Supplementary resource materials for use in upper level secondary school German classes are presented in this text. Teachers who are seeking new content and are willing to adapt these instructional materials on ecology in Germany will find three self-contained units on: The Plight of the Polar Bear, Polluted Swimming Pools in Germany, and Dead…

  6. East German Children's and Adolescents' Friendship and Moral Reasoning before and after German Reunification

    Science.gov (United States)

    Gummerum, Michaela; Keller, Monika

    2012-01-01

    Few studies so far have investigated whether abrupt social changes in a society affect the development of friendship and moral reasoning. In this study, 2 cohorts of 188 East German children and adolescents (aged 7, 9, 12, and 15 years) were interviewed in 1990 and 2005. Participants were asked about the importance of close friendship (friendship…

  7. Effectiveness of a web-based treatment program using intensive therapeutic support for female patients with bulimia nervosa, binge eating disorder and eating disorders not otherwise specified: study protocol of a randomized controlled trial.

    Science.gov (United States)

    ter Huurne, Elke D; Postel, Marloes G; de Haan, Hein A; DeJong, Cor A J

    2013-11-16

    RCTs. This study protocol presents the design of a RCT for evaluating the effectiveness of a web-based treatment program using intensive therapeutic support for female patients with bulimia nervosa, binge eating disorder and eating disorders not otherwise specified. The protocol for this study is registered with the Netherlands Trial Registry NTR2415.

  8. Intensity of lipid-lowering therapy and low-density lipoprotein cholesterol goal attainment among the elderly before and after the 2004 National Cholesterol Education Program Adult Treatment Panel III update.

    Science.gov (United States)

    Nichols, Gregory A; Nag, Soma; Chan, Wiley

    2007-09-01

    In 2004, the Coordinating Committee of the National Cholesterol Education Program issued an update to the Adult Treatment Panel III guidelines on cholesterol management (the Update). Our objectives were to compare the proportion of elderly patients receiving intensive or minimal-guideline lipid-lowering therapy and the proportions meeting low-density lipoprotein cholesterol (LDL-C) goals before and after the update. We used dispense records from Kaiser Permanente Northwest (Portland, OR) to identify elderly patients who received statin therapy in 2003 (n = 14425) and 2005 (n = 19422) and laboratory records to assess LDL-C goal attainment. Among new statin initiators, 85.4% of very-high-risk patients received minimal-guideline therapy in 2005, compared with 65.3% (P treatment, a significantly greater proportion of patients in 2005 versus 2003 attained the optional goal of <70 mg/dL (45.5% vs 34.4% P = .014). However, there was no significant difference in the proportion attaining <100 mg/dL (77.8% vs 81.8%, P = .281). After the Update, more elderly patients were receiving intensive or minimal-guideline statin therapy. Low-density lipoprotein cholesterol goal attainment was isolated and appeared to occur by shifting already well-controlled patients to lower LDL-C levels. Although these findings may translate into less overall coronary heart disease risk, more aggressive lipid-lowering therapy would likely further reduce risk.

  9. Microplastic concentrations in beach sediments along the German Baltic coast.

    Science.gov (United States)

    Stolte, Andrea; Forster, Stefan; Gerdts, Gunnar; Schubert, Hendrik

    2015-10-15

    The contamination with microplastic particles and fibres was evaluated on beaches along the German Baltic coast. Sediments were sampled near the Warnow and Oder/Peene estuaries, on Rügen island and along the Rostock coast to derive possible entry pathways. Seasonal variations were monitored along the Rostock coast from March to July 2014. After density separation in saline solution, floating particles were found to be dominated by sand grains. Water surface tension is shown to be sufficient to explain floatation of grains with sizes less than 1.5mm. Selecting intensely coloured particles and fibres, we find lower limits of the microplastic concentrations of 0-7 particles/kg and 2-11 fibres/kg dry sediment. The largest microplastic contaminations are measured at the Peene outlet into the Baltic Sea and in the North Sea Jade Bay. City discharges, industrial production sites, fishing activity and tourism are the most likely sources for the highest microplastic concentrations. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. The power of mass media in the German civil society

    Directory of Open Access Journals (Sweden)

    Alicia‑Georgiana Zalupca

    2016-12-01

    Full Text Available Mass media is playing a significant role in influencing people’s mind and determining the vote’s preference of each single individual. Nowadays, mass media has become an essential part in setting up the public’s agenda. We are living in a social media era that is being governed by Facebook and Twitter. Facebook had played a key role in Germany’s society in the last year, since September 2015, by helping to increase public awareness or to collect opinions and information, and also to influence the attitude of the people towards electing the Eurosceptic political party, Alternative for Germany (AfD. The results of the regional elections in Germany from March 2016 had been strongly influenced by the party’s intense activities on Facebook. It may be said that the electoral campaign of AfD had completely taken place on Facebook, a social media channel where people and the party itself dare to speak up their mind without being afraid that their opinion could be censorship. This article is about to describe the role that the social media channel, Facebook, had had in choosing AfD as main winner of the German regional elections.

  11. Uses of glyphosate in German arable farming – operational aspects

    Directory of Open Access Journals (Sweden)

    Wiese, Armin

    2016-02-01

    Full Text Available Glyphosate is the most frequently used herbicide active ingredient in Germany. Studies regarding its usage in non-GMO arable farming are still rare even though it plays an important role in several agronomic situations. Therefore, we conducted a comprehensive survey, which was carried out among conventional German farms in Winter 2014/2015. Based on the results of this survey we analyzed via cluster analysis how types of farms differ in terms of glyphosate usage. An illustration of seven clusters allows deep insights into arable farm structures. The farm types can be distinguished regarding their tillage system and similar to this differentiation also concerning their intensity of glyphosate application. Furthermore, it becomes obvious that farm clusters with a higher level of glyphosate usage are characterized by a lower number of labourers per hectare, more arable land and/or enhanced cover cropping. Moreover, groups of farmers who rely more on glyphosate are more likely to state that they need glyphosate for herbicide resistance management. Farmers’ assessments of the economic importance of glyphosate usage vary depending on the type of farm. By means of the farm clusters, the most important situations of glyphosate usage can be further analyzed economically and scenarios for impact assessments can be made.

  12. Randomized controlled trial on the effects of a supervised high intensity exercise program in patients with a hematologic malignancy treated with autologous stem cell transplantation: Results from the EXIST study.

    Directory of Open Access Journals (Sweden)

    Saskia Persoon

    Full Text Available This single blind, multicenter randomized controlled trial aimed to evaluate the effectiveness of a supervised high intensity exercise program on physical fitness and fatigue in patients with multiple myeloma or lymphoma recently treated with autologous stem cell transplantation.109 patients were randomly assigned to the 18-week exercise intervention or the usual care control group. The primary outcomes included physical fitness (VO2peak and Wpeak determined using a cardiopulmonary exercise test; grip strength and the 30s chair stand test and fatigue (Multidimensional Fatigue Inventory and were assessed prior to randomization and after completion of the intervention or at similar time points for the control group. Multivariable multilevel linear regression analyses were performed to assess intervention effects.Patients in the intervention group attended 86% of the prescribed exercise sessions. Of the patients in the control group, 47% reported ≥10 physiotherapy sessions, which most likely included supervised exercise, suggesting a high rate of contamination. Median improvements in physical fitness ranged between 16 and 25% in the intervention group and between 12 and 19% in the control group. Fatigue decreased in both groups. There were no significant differences between the intervention and control group.We found no significant beneficial effects of the supervised high intensity exercise program on physical fitness and fatigue when compared to usual care. We hypothesized that the lack of significant intervention effects may relate to suboptimal timing of intervention delivery, contamination in the control group and/or suboptimal compliance to the prescribed exercise intervention.Netherlands Trial Register-NTR2341.

  13. Apitherapy: Usage and Experience in German Beekeepers

    Directory of Open Access Journals (Sweden)

    Markus Hellner

    2008-01-01

    Full Text Available This study aimed to investigate the practice of apitherapy - using bee products such as honey, pollen, propolis, royal jelly and bee venom to prevent or treat illness and promote healing - among German beekeepers and to evaluate their experiences with these therapies. A questionnaire incorporating two instruments on beekeepers’ physical and mental health and working practice was included in three German beekeeping journals and readers were asked to complete it. The instrument included questions on the use of apitherapy. Simple descriptive methods, bivariate correlation, cross-tabulation and one-way ANOVA were used to analyze the data. Altogether 1059 completed questionnaires were received. The beekeepers reported the most effective and favorable therapeutic effects with honey, followed by propolis, pollen and royal jelly. The factors associated with successful experiences were: age, number of hives tended, health consciousness, positive experiences with one product and self-administration of treatment. Beekeepers were asked for which condition they would employ propolis and pollen. They reported that they used propolis most frequently to treat colds, wounds and burns, sore throats, gum disorders and also as a general prophylactic, while pollen was most commonly used as a general prophylactic and, less frequently, in treating prostate diseases. No adverse experiences were reported. The potential benefit of bee products is supported by the positive experiences of a large group of beekeepers who use some of these products to treat a wide range of conditions. The indications and treatments given here may be important in selecting bee products and designing future trials.

  14. Homocysteine and cobalamin status in German vegans.

    Science.gov (United States)

    Waldmann, Annika; Koschizke, Jochen W; Leitzmann, Claus; Hahn, Andreas

    2004-05-01

    The study aimed to evaluate the homocysteine and cobalamin status of German vegans and determine whether the intake of very small amounts of foods of animal origin can improve this status. Cross-sectional study, Germany. The dietary and nutritional intakes of 131 vegans (73 women, 58 men; age range: 20.2-82.1 years) were evaluated using a general questionnaire and two food-frequency questionnaires. The prevalence of inadequate cobalamin status in volunteers of the German Vegan Study was 28.2%, and that of hyperhomocysteinaemia, 38.1%. Moderate vegans were affected to a lesser extent than were strict vegans. Duration of veganism and cobalamin concentration were inversely correlated (Spearman's r=-0.175, P=0.047). Folate concentration and erythrocyte aspartic acid aminotransferase activity were not correlated with plasma homocysteine concentration, but duration of veganism correlated positively with homocysteine concentration (Spearman's r=0.319, Pveganism; r=-0.602, P<0.001). Cobalamin status needs to be improved in order to minimise the risk of hyperhomocysteinaemia.

  15. Islamophobia? The German Discussion about Islamophobia

    Directory of Open Access Journals (Sweden)

    Astrid Bötticher

    2009-08-01

    Full Text Available Islamophobia is a term which is relatively new in the world of social science; it is a neologism. Kofi Annan has warned about it but there is not a clear, undoubted concept to it yet – and it is questionable if there ever will be, especially if one looks into the German controversy about the term. The German discussion is not unique though, and must fall into the pattern of wider, European discussion about the Islamic minority. Prominent figures of Islamic hatred in Europe are for instance Oriana Fallaci and Brigitte Bardot. Against them, there stands a more liberal community that does not want to follow the language of violence and hatred. Two different standpoints are the main poles of discussion. One group wants to use Islamophobia as a concept, the other group opposes the term. In between, there is the scientific concept of Islamophobia that is threatened to be pulverized before it is even fully conceptualized. In the middle position there are also intellectuals known as Islamic reformers who argue that Islamophobia should be replaced by the term Islam-critique.

  16. Role of the universities in contemporary higher education – the German experience

    Directory of Open Access Journals (Sweden)

    Belov Vladislav

    2016-01-01

    Full Text Available The article analyses the issues related to the changes taking place in the sphere of University education in Germany. This is an issue of a high importance with the dominant role for the state and a relatively poorly developed institutional management of classical universities. The situation began to change in recent years through increasing funding and improving government. The collaboration between higher education and science is strengthening. This is facilitated by number of governmental support programs, such as “Excellence initiative”, which promotes the formation of elite group of German universities. Many high schools with dual education programs (Fachhochschule now are referred to as Universities of Applied Sciences. The classical understanding of the University is eroded; competition between institutions within the country is increasing targeting to increase the international competitiveness of the German University system. New challenges, including the Bologna reform, compounded management problems, for both universities administration and students. The continuing reform process and increasing the number of places for students is of high necessity. Generally, the prestige of German universities and some research institutions is increasing and attracting more foreign students and scientists from all around the world.

  17. Dairy and reproductive traits of German fawn goats in Mediterranean breeding conditions

    Directory of Open Access Journals (Sweden)

    Zvonimir Prpić

    2015-11-01

    Full Text Available The aim of this study was to determine some dairy and reproductive traits of German fawn goats kept on Dugi otok, in a semi intensive production conditions. The survey included 63 purebred, dairy goats during three consecutive lactations (from 2008 to 2010. All milking animals belonged to the same flock and were kept under identical experimental conditions. During the milking period (from weaning of kids at the age of 45±5 days till the drying off regular monthly milk yield recordings were conducted (AT method. During mean lactation length of 249.5 days German fawn goats produced 646.7 kg of milk containing on average 3.41 % of milk fat and 3.10 % of protein. Significant differences were found in the mean daily and lactation milk yield, and in milk fat content between different years of research, with the lowest milk yield determined in the year with the lowest total quantity of precipitation (2009. Also a progressive increase (P0.05. The mean birth weight of German fawn kids (3.77 kg was positively correlated (P<0.01 with the total quantity of milk produced and the quantity of fat and proteins produced and, as expected, negative¬ly correlated with the number of kids in the litter (P<0.001.

  18. [The Importance of Hospital Hygiene: Findings of a German Nationwide Survey].

    Science.gov (United States)

    Haking, Dennis

    2017-04-01

    Aim of the study: The German legislature reacted to the increasing number of nosocomial infections with a set of laws to strengthen hospital hygiene. The aim of the study is to measure the current and future importance of hospital hygiene in Germany. Methods: CEOs and hygiene staff from German hospitals took part in a survey on 13 items regarding the current and future importance of hospital hygiene. Statistical analyses were conducted to identify significances regarding the professional groups. Results: The results of the study show that hospital hygiene is currently of high importance and will be rising in the future. Hospital hygiene has a high economic impact, especially as a competitive factor. The patients' fear to suffer from a nosocomial infection, especially caused by multi-resistant bacteria, is countered with intensive educational work. Conclusion: The results demonstrate that the legislators' efforts are taken note of in German hospitals and the future strategic impact of hospital hygiene in a pay-for-performance reimbursement system has become clear. © Georg Thieme Verlag KG Stuttgart · New York.

  19. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... and absolute intensity. Relative Intensity The level of effort required by a person to do an activity. When using relative intensity, people pay attention to how physical activity affects their heart rate ...

  20. Wildlife management of German colonists in the Don Army region

    Directory of Open Access Journals (Sweden)

    D. Yu. Shishkina

    2007-01-01

    Full Text Available The nature use of German colonists in the Don Forces District. The history of the use of natural resources by the German colonists is considered. Development of the settling system is analyzed, main features of natural resources use and patterns of their evolution are studied.